FDA Adverse Event
Injury
Summary report: N
TITAN TOUCH
MDR report key: 12263535
·
Received August 2, 2021
Report
- Report Number
- 2125050-2021-01029
- Event Type
- Injury
- Date Received
- August 2, 2021
- Date of Event
- October 7, 2020
- Report Date
- August 2, 2021
- Manufacturer
- COLOPLAST A/S
- Product Code
- FWH
- PMA / PMN Number
- P000006
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- PHYSICIAN
Narratives
Additional Manufacturer Narrative · 1
THE LOT # WAS REVIEWED FOR COMPLAINT TREND, NONCONFORMING REPORT AND CAPA. DEVICES MET SPECIFICATION PRIOR TO RELEASE AND NO TRENDS WERE NOTED. SHOULD ADDITIONAL INFORMATION PROMPT US TO ALTER OR SUPPLEMENT ANY INFORMATION OR CONCLUSIONS CONTAINED IN THE ORIGINAL MDR OR IN ANY PRIOR SUPPLEMENTAL REPORTS, A FOLLOW-UP REPORT WILL BE SUBMITTED.
Description of Event or Problem · 1
ACCORDING TO THE AVAILABLE INFORMATION, AN INFECTION OCCURRED. THE DEVICE WAS REPLACED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1160090 | TITAN TOUCH | INFLATABLE PENILE PROSTHESIS | FWH | COLOPLAST A/S | ES29181022 | 7012772 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 66 YR | Required Intervention |