inforMED
InjuryJCW

AMS 700 CXR

Received Jul 17, 2026 · Event occurred Jun 16, 2026

Report 2124215-2026-38462 · MDR key 25856096

Device

Generic name

Prosthesis, Penis, Inflatable

Model number

72404013

Catalog number

72404013

Lot number

1100785019

Product problems

  • Adverse Event Without Identified Device or Use Problem

Patient

67 YR · Male

  • Inflammation

Narrative

Description of Event or Problem

IT WAS REPORTED THAT THE PATIENT WITH THIS INFLATABLE PENILE PROSTHESIS (IPP) EXPERIENCED AN INFLAMMATORY REACTION. AS A RESULT, THE DEVICE WAS EXPLANTED AND REPLACED. NO ADDITIONAL INFORMATION WAS PROVIDED.

Additional Manufacturer Narrative

MODEL NUMBER/CATALOG NUMBER: 72404310. SERIAL NUMBER: N/A. BATCH/LOT NUMBER: 1100894610. MODEL/CATALOG DESCRIPTION: PUMP MS. 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. BASED ON THE INFORMATION AVAILABLE, A CONCLUSION CODE OF ADVERSE EVENT RELATED TO PATIENT CONDITION WAS ASSIGNED TO THIS INVESTIGATION.