FDA Adverse Event Injury Summary report: N

PENUMA IMPLANT

MDR report key: 7313083 · Received March 1, 2018

Report

Report Number
MW5075640
Event Type
Injury
Date Received
March 1, 2018
Date of Event
January 26, 2018
Report Date
February 28, 2018
Manufacturer
NATIONAL MEDICAL DEVICES INC.
Product Code
MIB
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
CA, US
Reporter Occupation
PATIENT FAMILY MEMBER OR FRIEND

Narratives

Description of Event or Problem · 1

DR (B)(6) CLAIMS HE HAS A 501(K) CLEARING A PRODUCT FOR A PENILE IMPLANT. WHEN LOOKING UP HIS 510(K) #K042380. IT STATES IT'S FOR EARS NOSE AND THROAT. HE IS USING THIS APPROVAL TO SECURE TRUST IN PTS. IT'S ABSOLUTELY MEANINGLESS AND EXTREMELY MISLEADING. THIS PRODUCT THAT MR (B)(6) IS USING IS DESTROYING THE LIVES OF MANY MEN. HE IS PLAYING ON THEM, LYING ON THEM AND LEAVING THEM WITH A MESS TO DEAL WITH AFTERWARDS. MY HUSBAND IS PRETTY DISFIGURED FROM HIS PROCEDURE, AND IT IS INTERFERING WITH DAILY LIFE FUNCTIONS; DR (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
151788 PENUMA IMPLANT PENILE SILICONE BLOCK MIB NATIONAL MEDICAL DEVICES INC.

Patients

Seq Age Sex Outcome Treatment
1 38 YR Other