inforMED
InjuryJCW

AMS 700 CXR

Received Jul 8, 2026 · Event occurred May 12, 2026

Report 2124215-2026-36630 · MDR key 25757021

Device

Generic name

Prosthesis, Penis, Inflatable

Model number

72404012

Catalog number

72404012

Lot number

1000404174

Product problems

  • Material Puncture/Hole

Patient

54 YR · Male

  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

MODEL NUMBER/CATALOG NUMBER: 72404310. SERIAL NUMBER: N/A BATCH/LOT NUMBER: 1000554441. MODEL/CATALOG DESCRIPTION: PUMP MS. UNIQUE IDENTIFIER (UDI) #: (B)(4). MODEL NUMBER/CATALOG NUMBER: 72018201. SERIAL NUMBER: N/A BATCH/LOT NUMBER: 1000377326 MODEL/CATALOG DESCRIPTION: RESERVOIR FLAT 100 ML. UNIQUE IDENTIFIER (UDI) #: (B)(4).

Description of Event or Problem

IT WAS REPORTED THAT THE PATIENT WITH THIS INFLATABLE PENILE PROSTHESIS (IPP) EXPERIENCED A DAMAGE IN THE BODY OF PENNIS, AS THE DEVICE WAS RUPTURED. AS A RESULT, THE DEVICE WAS EXPLANTED AND REPLACED. NO FURTHER PATIENT COMPLICATION WAS REPORTED.