FDA Adverse Event
Injury
Summary report: N
TITAN TOUCH
MDR report key: 13929673
·
Received March 28, 2022
Report
- Report Number
- 2125050-2022-00307
- Event Type
- Injury
- Date Received
- March 28, 2022
- Report Date
- March 28, 2022
- Manufacturer
- COLOPLAST A/S
- Product Code
- FHW
- UDI-DI
- 05708932539180
- PMA / PMN Number
- P000006
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MI, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
A TITAN TOUCH PUMP AND 2 CYLINDERS WERE RECEIVED FOR EVALUATION. VISUAL EXAMINATION OF THE RETURNED COMPONENTS REVEALED NO ABNORMALITIES THAT WOULD HAVE CONTRIBUTED TO THE REPORT OF PAIN. HOWEVER, BECAUSE EXAMINATION OF THE COMPONENTS MAY NOT CONCLUSIVELY CONFIRM OR DISPROVE THE REPORT OF PAIN, QUALITY ACCEPTS THE PHYSICIAN¿S OBSERVATIONS AS TO THE REASON FOR SURGICAL INTERVENTION. A REVIEW OF THE DEVICE HISTORY RECORD CONFIRMED THE DEVICES FROM THIS LOT MET ALL SPECIFICATIONS PRIOR TO RELEASE. A REVIEW OF THE COMPLAINT HISTORY DATABASE, NONCONFORMANCES AND CAPAS REVEALED NO TRENDS FOR THIS LOT.
Description of Event or Problem · 0
ACCORDING TO THE AVAILABLE INFORMATION, THE TITAN TOUCH WAS REVISED DUE TO PAIN IN THE SCROTUM. NO OTHER ADVERSE EVENTS WERE REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 337046 | TITAN TOUCH | INFLATABLE PENILE PROSTHESIS | FHW | COLOPLAST A/S | ES29182400 | 5169576 | 05708932539180 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 72 YR | Male | Required Intervention |