inforMED
InjuryJCW

AMS 700 CXR MS PUMP

Received Jul 20, 2026 · Event occurred Dec 1, 2025

Report 2124215-2026-38805 · MDR key 25876904

Device

Generic name

Prosthesis, Penis, Inflatable

Model number

72404262

Catalog number

72404262

Lot number

0175677009

Product problems

  • Fluid/Blood Leak
  • Mechanical Problem
  • Material Puncture/Hole

Patient

76 YR · Male

  • No Clinical Signs, Symptoms or Conditions

Narrative

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 IT WAS IDENTIFIED THAT THE TUBING HAD FRACTURED ABOVE THE PUMP CAUSING FLUID LOSS. THE CYLINDERS AND PUMP WERE REPLACED. NO PATIENT COMPLICATIONS WERE REPORTED.

Additional Manufacturer Narrative

MODEL NUMBER/CATALOG NUMBER: 72404155. SERIAL NUMBER: N/A. BATCH/LOT NUMBER: 0179195008. MODEL/CATALOG DESCRIPTION: RESERVOIR 65 ML PC/IZ. UNIQUE IDENTIFIER (UDI) #: (B)(4).