InjuryJCW
AMS 700 LGX MS PUMP
Received Jul 21, 2026 · Event occurred Jul 13, 2026
Report 2124215-2026-39179 · MDR key 25892905
Device
Generic name
Prosthesis, Penis, Inflatable
Manufacturer
Boston Scientific CorporationModel number
72404253-12Catalog number
72404253-12
Lot number
1100192880
Product problems
- Migration
Patient
42 YR · Male
- No Clinical Signs, Symptoms or Conditions
Narrative
Description of Event or Problem
IT WAS REPORTED THAT THIS INFLATABLE PENILE PROSTHESIS (IPP) PUMP WAS RIDING HIGH IN THE SCROTUM WITH EXCESS TUBING. A SURGICAL PROCEDURE WAS PERFORMED DURING WHICH THE PUMP WAS EXPLANTED AND REPLACED. NO ADDITIONAL INFORMATION WAS PROVIDED.
Additional Manufacturer Narrative
MODEL NUMBER/CATALOG NUMBER: 720185-01.SERIAL NUMBER: N/A.BATCH/LOT NUMBER: 1100220335.MODEL/CATALOG DESCRIPTION: RESERVOIR FLAT IZ 100 ML.UNIQUE IDENTIFIER (UDI) #: (B)(4).