inforMED
InjuryJCW

AMS 700 CX MS PUMP

Received Jul 8, 2026 · Event occurred May 1, 2024

Report 2124215-2026-36755 · MDR key 25757035

Device

Generic name

Prosthesis, Penis, Inflatable

Model number

72404238

Catalog number

72404238

Lot number

1100428452

Product problems

  • Inflation Problem

Patient

81 YR · Male

  • No Clinical Signs, Symptoms or Conditions

Narrative

Description of Event or Problem

IT WAS REPORTED THAT THIS INFLATABLE PENILE PROSTHESIS (IPP) DID NOT INFLATE PROPERLY. AS A RESULT, THE PUMP WAS EXPLANTED AND REPLACED. NO PATIENT COMPLICATIONS WERE REPORTED.

Additional Manufacturer Narrative

MODEL NUMBER/CATALOG NUMBER: 720185-01. SERIAL NUMBER: N/A. BATCH/LOT NUMBER: 1100435073. MODEL/CATALOG DESCRIPTION: RESERVOIR FLAT IZ 100 ML. UNIQUE IDENTIFIER (UDI) #: (B)(4).