inforMED
InjuryJCW

AMS 700? TENACIO? PUMP

Received Jun 10, 2026 · Event occurred May 12, 2025

Report 2124215-2026-30994 · MDR key 25461006

Device

Generic name

Prosthesis, Penis, Inflatable

Model number

72404429

Catalog number

72404429

Lot number

1100553583

Product problems

  • Mechanical Problem

Patient

76 YR · Male

  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

MODEL NUMBER/CATALOG NUMBER: 720185-01. SERIAL NUMBER: N/A. BATCH/LOT NUMBER: 1100690313. MODEL/CATALOG DESCRIPTION: RESERVOIR FLAT IZ 100 ML. UNIQUE IDENTIFIER (UDI) #: (B)(4). THE DEVICE IS NOT AVAILABLE FOR ANALYSIS; THEREFORE, NO PHYSICAL ANALYSIS OF THE PRODUCT COULD BE PERFORMED. THE REPORTED DEVICE PERFORMANCE ALLEGATION CANNOT BE CONFIRMED. BASED ON THE INFORMATION AVAILABLE THE CAUSE THAT CONTRIBUTED TO THE REPORTED EVENT CANNOT BE ESTABLISHED. THEREFORE, A CONCLUSION CODE OF CAUSE NOT ESTABLISHED WAS ASSIGNED TO THIS INVESTIGATION.

Description of Event or Problem

IT WAS REPORTED THAT THE PATIENT'S INFLATABLE PENILE PROSTHESIS (IPP) WAS NOT FUNCTIONING PROPERLY SINCE IMPLANTATION. THE PATIENT STATED THAT THE IPP HAD ALREADY BEEN REMOVED. THE PATIENT WAS ADVISED TO FOLLOW UP WITH A PHYSICIAN. NO ADDITIONAL INFORMATION WAS PROVIDED.