inforMED
InjuryJCW

AMS 700 CXR

Received Jul 15, 2026 · Event occurred Jun 10, 2026

Report 2124215-2026-38141 · MDR key 25833739

Device

Generic name

Prosthesis, Penis, Inflatable

Model number

72404013

Catalog number

72404013

Lot number

1000419634

Product problems

  • Mechanical Problem
  • Material Puncture/Hole

Patient

65 YR · Male

  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

MODEL NUMBER/CATALOG NUMBER: 72404310 SERIAL NUMBER: N/A BATCH/LOT NUMBER: 1000586350 MODEL/CATALOG DESCRIPTION: PUMP MS UNIQUE IDENTIFIER (UDI) #: (B)(4). MODEL NUMBER/CATALOG NUMBER: 72404161 SERIAL NUMBER: N/A BATCH/LOT NUMBER: 1000443829 MODEL/CATALOG DESCRIPTION: RESERVOIR 65ML PC UNIQUE IDENTIFIER (UDI) #: (B(4).

Description of Event or Problem

IT WAS REPORTED THAT THE PATIENT'S INFLATABLE PENILE PROSTHESIS (IPP) WAS NOT FUNCTIONING PROPERLY. A SURGICAL PROCEDURE WAS PERFORMED DURING WHICH A CRACK WAS FOUND IN THE CYLINDER CONNECTING TUBE. ALL COMPONENTS WERE REMOVED AND REPLACED. NO PATIENT COMPLICATIONS WERE REPORTED.