FDA Adverse Event Other Summary report: N

DURA II PENILE IMPLANT

MDR report key: 82350 · Received April 4, 1997

Report

Report Number
2082063-1997-90003
Event Type
Other
Date Received
April 4, 1997
Date of Event
January 8, 1997
Report Date
April 4, 1997
Manufacturer
UROHEALTH SYSTEMS, INC.
Product Code
FAE
Removal / Correction Number
UNK
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

FOUR WEEKS AFTER IMPLANTING PROSTHESIS, IT BEGAN TO ERODE. THE RIGHT CYLINDER OF THE IMPLANT WAS REMOVED AND THE LEFT CYLINDER REMAINS IN PLACE. PT TO HAVE NEW IMPLANT ON RIGHT SIDE AFTER 3 MONTHS POST OP.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 DURA II PENILE IMPLANT Implant MALLEABLE PENILE PROSTHESIS FAE UROHEALTH SYSTEMS, INC. * 96026D1024

Patients

Seq Age Sex Outcome Treatment
1 66 YR Required Intervention