inforMED
InjuryJCW

AMS 700 CX MS PUMP

Received Jun 17, 2026 · Event occurred May 20, 2026

Report 2124215-2026-32458 · MDR key 25538523

Device

Generic name

Prosthesis, Penis, Inflatable

Model number

72404234-14

Catalog number

72404234-14

Lot number

1100515997

Product problems

  • Insufficient Device Problem Information

Patient

73 YR · Male

  • Pain

Narrative

Additional Manufacturer Narrative

MODEL NUMBER/CATALOG NUMBER: 72404156. SERIAL NUMBER: N/A. BATCH/LOT NUMBER: 1100611102. MODEL/CATALOG DESCRIPTION: RESERVOIR 100 ML PC/IZ. UNIQUE IDENTIFIER (UDI) #: (B)(4). THE DEVICE IS NOT AVAILABLE FOR ANALYSIS; THEREFORE, NO PHYSICAL OR VISUAL ANALYSIS OF THE PRODUCT COULD BE PERFORMED. THERE WAS NO REPORT OF A DEVICE PERFORMANCE ALLEGATION. THE REPORTED PATIENT SYMPTOMS IS KNOWN RISK ASSOCIATED WITH THIS DEVICE TYPE AND INDICATED AS SUCH IN THE INSTRUCTIONS FOR USE. BASED ON THE INFORMATION AVAILABLE, THE CONCLUSION CODE OF KNOWN INHERENT RISK OF DEVICE WAS ASSIGNED TO THIS INVESTIGATION.

Description of Event or Problem

IT WAS REPORTED THAT THE PATIENT WITH THIS INFLATABLE PENILE PROSTHESIS (IPP) EXPERIENCED SCROTAL PAIN. A SURGICAL PROCEDURE WAS PERFORMED DURING WHICH THE IPP WAS EXPLANTED. NO ADDITIONAL INFORMATION WAS PROVIDED.