AMS 700 LGX MS PUMP
Received Jun 12, 2026 · Event occurred May 28, 2026
Report 2124215-2026-31560 · MDR key 25488687
Device
Generic name
Prosthesis, Penis, Inflatable
Manufacturer
Boston Scientific CorporationModel number
72404302Catalog number
72404302
Lot number
1100748198
Product problems
- Fluid/Blood Leak
- Material Puncture/Hole
Patient
71 YR · Male
- No Clinical Signs, Symptoms or Conditions
Narrative
Additional Manufacturer Narrative
MODEL NUMBER/CATALOG NUMBER: 72404161. SERIAL NUMBER: N/A. BATCH/LOT NUMBER: 1100757488. MODEL/CATALOG DESCRIPTION: RESERVOIR 65ML PC. 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. HOLE AND FLUID LEAKAGE ARE ACKNOWLEDGED WITHIN THE INSTRUCTIONS FOR USE (IFU) AND IS NOT RELATED TO OFF LABEL USE OR FAILURE TO FOLLOW INSTRUCTIONS. 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 THIS INFLATABLE PENILE PROSTHESIS (IPP) HAD A MICROPUNCTURE AND FLUID LEAKAGE. A SURGICAL PROCEDURE WAS PERFORMED DURING WHICH THE CYLINDER AND PUMP WERE EXPLANTED AND REPLACED. NO ADDITIONAL INFORMATION WAS PROVIDED.