inforMED
MalfunctionFAF

TOROSA SALINE TESTICULAR MED

Received Aug 12, 2016 · Event occurred Feb 5, 2016

Report 2125050-2016-00164 · MDR key 5873230

Device

Generic name

Saline Filled Testicular Prosthesis

Manufacturer

Coloplast A/s

Model number

5206302400

Catalog number

5206302400

Lot number

4837525

Product problems

  • Deflation Problem

Patient

20 YR

  • Failure of Implant
  • Failure of Implant

Narrative

Additional Manufacturer Narrative

WITHOUT THE BENEFIT OF EXAMINATION AND TESTING, COLOPLAST IS PRECLUDED FROM COMMENTING ON THE CONDITION OF THE DEVICE OR THE CAUSE OF THE OCCURRENCE. SHOULD ADDITIONAL FACTS PROMPT US TO ALTER OR SUPPLEMENT ANY INFORMATION OF CONCLUSIONS CONTAINED IN THE ORIGINAL MDR OR IN ANY PRIOR SUPPLEMENTAL REPORTS, A FOLLOW-UP REPORT WILL BE SUBMITTED.

Description of Event or Problem

ACCORDING TO THE AVAILABLE INFORMATION, THE PATIENT UNDERWENT REMOVAL OF HIS LEFT TESTICLE DUE TO LEFT TESTICULAR TUMOR. THE PATIENT HAD A PROSTHESIS PLACED AT THE TIME OF REMOVAL. SURGEON WAS NOTIFIED POSTOPERATIVELY THAT THE IMPLANTED PROSTHESIS HAD FAILED AND HAD DEFLATED.