inforMED
InjuryJCW

AMS 700 LGX MS PUMP

Received Jun 19, 2026 · Event occurred May 22, 2026

Report 2124215-2026-32887 · MDR key 25563818

Device

Generic name

Prosthesis, Penis, Inflatable

Model number

72404251

Catalog number

72404251

Lot number

0165691007

Product problems

  • Fluid/Blood Leak

Patient

65 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: 0161632020. MODEL/CATALOG DESCRIPTION: RESERVOIR. 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 THIS INFLATABLE PENILE PROSTHESIS (IPP) HAD FLUID LOSS. AS A RESULT, THE DEVICE WAS EXPLANTED AND REPLACED. NO ADDITIONAL INFORMATION WAS PROVIDED.