FDA Adverse Event
Injury
Summary report: N
ENCORE VTU-1
MDR report key: 292050
·
Received August 22, 2000
Report
- Report Number
- MW1019760
- Event Type
- Injury
- Date Received
- August 22, 2000
- Date of Event
- November 6, 1998
- Report Date
- August 17, 2000
- Manufacturer
- ENCORE, DIV. OF WETOO, INC.
- Product Code
- LKY
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- VA, US
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
WHILE ATTEMPTING TO HELP ERECTILE DYSFUNCTION PROBLEM ON TWO SEPARATE OCCASIONS: RPTR CAUSED PERMANENT DAMAGE TO PENIS, WHEN USING THE ENCORE VTUI ERECTION DEVICE. THE VACUUM PUMP AND CONSTRICTION RINGS SEVERELY BRUISED PENIS, CAUSING A PLAQUE BUILD-UP KNOWN AS PEYRONIE'S DISEASE, WHICH CAUSES A SEVERE CURVATURE TO THE PENIS PREVENTING RPTR FROM HAVING INTERCOURSE WITH HIS WIFE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | ENCORE VTU-1 | VACUUM ERECTION DEVICE | LKY | ENCORE, DIV. OF WETOO, INC. | NONE | NONE |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 63 YR | Required Intervention| S |