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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: COLOPLAST A/S GENESIS; PENILE PROSTHESIS

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COLOPLAST A/S GENESIS; PENILE PROSTHESIS Back to Search Results
Device Problem Adverse Event Without Identified Device or Use Problem (2993)
Patient Problems Wound Dehiscence (1154); Unspecified Infection (1930)
Event Date 04/02/2019
Event Type  Injury  
Manufacturer Narrative
Without the benefit of examination and testing, coloplast is precluded from commenting on the condition of the device or the cause of the occurrence.Should additional facts prompt us to alter or supplement any information or conclusions contained in the original mdr or in any prior supplemental reports, a follow-up report will be submitted.
 
Event Description
The following information was obtained from a literature article titled "novel application of a irrigant wound vacuum system for management of infected penile prostheses in high risk patients" a patient developed a wound infection two weeks following placement of a coloplast genesis¿ malleable penile prosthesis and testicular prosthesis.He was admitted for intravenous antibiotics and had bedside removal of testicular prosthesis and placement of a rectangular sponge in the scrotal incision after closure of corporal bodies.After five days the patient was discharged home with the device and seen twice weekly in the office for vacuum changes.He was hospitalized for two days, two weeks after discharge for purulent discharge from his wound and received 10 days meropenem via a jacc line.Six weeks after the initial surgery the wound vacuum was discontinued and a dressing was applied for a total of one week, after which the wound had completely closed.Patient had no further complication to date.
 
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Brand Name
GENESIS
Type of Device
PENILE PROSTHESIS
Manufacturer (Section D)
COLOPLAST A/S
holtedam 1
humlebaek, 3050
DA  3050
Manufacturer (Section G)
COLOPLAST MANUFACTURING US, LLC
1601 west rivier road north
minneapolis MN 55411
Manufacturer Contact
sarah o'gara
1601 west rivier road north
minneapolis, MN 55411
6123578517
MDR Report Key8951210
MDR Text Key156892603
Report Number2125050-2019-00704
Device Sequence Number1
Product Code FAE
Combination Product (y/n)N
PMA/PMN Number
K040959
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type literature
Type of Report Initial
Report Date 08/29/2019
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Lay User/Patient
Was Device Available for Evaluation? No
Initial Date Manufacturer Received 08/01/2019
Initial Date FDA Received08/30/2019
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Unknown
Patient Sequence Number1
Patient Outcome(s) Other;
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