inforMED
InjuryJCW

AMS 700 CX MS PUMP

Received Jun 11, 2026 · Event occurred May 17, 2026

Report 2124215-2026-31448 · MDR key 25480353

Device

Generic name

Prosthesis, Penis, Inflatable

Model number

72404233-12

Catalog number

72404233-12

Lot number

1100914894

Product problems

  • Adverse Event Without Identified Device or Use Problem

Patient

74 YR · Male

  • Bacterial Infection
  • Unspecified Infection
  • Discomfort

Narrative

Description of Event or Problem

IT WAS REPORTED THAT THIS PATIENT WITH AN INFLATABLE PENILE PROSTHESIS (IPP) EXPERIENCED TENDERNESS TO THE SCROTAL SITE. UPON EXAMINATION THE PHYSICIAN IDENTIFIED AN INFECTION AT THAT SCROTAL SITE. A SURGICAL PROCEDURE WAS PERFORMED DURING WHICH THE DEVICE WAS EXPLANTED AND REPLACED WITH A TACTRA DEVICE. THERE WERE NO DEVICE ISSUES, AND THERE WERE NO FURTHER PATIENT COMPLICATIONS REPORTED.

Additional Manufacturer Narrative

MODEL NUMBER/CATALOG NUMBER: 720185-01. SERIAL NUMBER: N/A. BATCH/LOT NUMBER: 1100903314. MODEL/CATALOG DESCRIPTION: RESERVOIR FLAT IZ 100 ML. UNIQUE IDENTIFIER (UDI) #: (B)(4).