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 |