FDA Adverse Event
Injury
Summary report: N
TENOTAC 2.0 MALE IMPLANT
MDR report key: 16400133
·
Received February 17, 2023
Report
- Report Number
- 3008650117-2023-00039
- Event Type
- Injury
- Date Received
- February 17, 2023
- Date of Event
- January 18, 2023
- Report Date
- February 17, 2023
- Manufacturer
- PARAGON 28, INC
- Product Code
- HWC
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
THE MALE IMPLANT BACKED OUT APPROXIMATELY 2 MONTHS POST-IMPLANTATION AFTER THE PATIENT STARTED AMBULATING.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 263678 | TENOTAC 2.0 MALE IMPLANT | HWC | PARAGON 28, INC |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Female | Other |