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