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 |