inforMED
InjuryJCW

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

Model number

72404302

Catalog 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.