BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SURGITEK UNIFLATE PENILE IMPLANT

    MDR report key: 36821 · Received September 3, 1996

    Report

    Report Number
    2182596-1996-00009
    Event Type
    Malfunction
    Date Received
    September 3, 1996
    Report Date
    August 28, 1996
    Manufacturer
    MEDICAL ENGINEERING CORP.
    Product Code
    FHW
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GA, US
    Reporter Occupation
    ATTORNEY

    Narratives

    Description of Event or Problem · 1

    LEFT TUBING SEPARATED FROM RESERVOIR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SURGITEK UNIFLATE PENILE IMPLANT Implant TWO-PART INFLATABLE PENILE IMPLANT FHW MEDICAL ENGINEERING CORP. UNK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Required Intervention