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