FDA Adverse Event Injury Summary report: N

TOROSA

MDR report key: 2822180 · Received April 30, 2012

Report

Report Number
2125050-2012-00022
Event Type
Injury
Date Received
April 30, 2012
Date of Event
April 3, 2012
Report Date
April 30, 2012
Manufacturer
COLOPLAST A/S
Product Code
FAF
PMA / PMN Number
P020003
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

ONE TESTICULAR DEVICE WAS RETURNED FOR EVALUATION. EXAMINATION OF THE RETURNED COMPONENT REVEALED NO ABNORMALITIES THAT WOULD HAVE CONTRIBUTED TO THE REPORT OF EROSION. COLOPLAST ACCEPTS THE PHYSICIAN'S OBSERVATIONS OF SUCH AS THE REASON FOR SURGICAL INTERVENTION. THE PRODUCT LITERATURE THAT ACCOMPANIES THIS DEVICE ADDRESSES THE POTENTIAL POST OPERATIVE COMPLICATIONS SUCH AS THIS.

Description of Event or Problem · 1

DEVICE ERODED THROUGH THE SCROTUM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TOROSA SALINE FILED TESTICULAR PROSTHESIS FAF COLOPLAST A/S 5206302400 3000205

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention