FDA Adverse Event Injury Summary report: N

TOROSA

MDR report key: 2564654 · Received May 8, 2012

Report

Report Number
2125050-2012-00023
Event Type
Injury
Date Received
May 8, 2012
Date of Event
April 12, 2012
Report Date
May 10, 2012
Manufacturer
COLOPLAST A/S
Product Code
FAF
PMA / PMN Number
P020003
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE WAS RETURNED FOR EVALUATION. EXAMINATION OF THE RETURNED COMPONENTS REVEALED NO ABNORMALITIES THAT WOULD HAVE CONTRIBUTED TO THE REPORT OF EROSION. IT WAS REPORTED THAT THE UROLOGIST DID IMPLANTED THE LARGE SIZE AND ASSUMED THE SCROTUM WOULD EXPAND TO THEM. BASED ON THIS INFORMATION NO CONCLUSIONS CAN BE DETERMINED AT THIS TIME.

Description of Event or Problem · 1

BOTH TESTICULAR DEVICES ERODING LATERALLY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TOROSA SALINE FILLED TESTICULAR PROSTHESIS FAF COLOPLAST A/S 5206502400 2679556

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention