• Decrease font size
  • Return font size to normal
  • Increase font size
U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BOSTON SCIENTIFIC CORPORATION AMS 700? CX TENACIO? Pump; prosthesis, penis, inflatable

  • Print
  • Share
  • E-mail
-
Super Search Devices@FDA
510(k) | DeNovo | Registration & Listing | Adverse Events | Recalls | PMA | HDE | Classification | Standards
CFR Title 21 | Radiation-Emitting Products | X-Ray Assembler | Medsun Reports | CLIA | TPLC
 

BOSTON SCIENTIFIC CORPORATION AMS 700? CX TENACIO? Pump; prosthesis, penis, inflatable Back to Search Results
Model Number 72404431
Medical Device Problem Codes Inflation Problem (1310); Malposition of Device (2616); Failure to Deflate (4060)
Health Effect - Clinical Codes Pain (1994); Discomfort (2330)
Date of Event 08/04/2025
Type of Reportable Event Serious Injury
Event or Problem Description
It was reported that the patient with this inflatable penile prosthesis (ipp) was experiencing discomfort due to pump positioning.The patient stated that the pump sits in a difficult location, making it challenging to inflate and deflate, though he is still able to operate it with maneuvering.No further patient complications were reported.
 
Additional Manufacturer Narrative
Concomitant product udi for reservoir is (b)(4).There was no device available for analysis; therefore, no physical or visual analysis of the product could be performed.The reported patient symptom of discomfort is a known risk associated with implant of these devices as indicated in the instructions for use.Based on the information available, a conclusion code of known inherent risk of device was assigned to this investigation.
 
Event or Problem Description
It was reported that the patient with this inflatable penile prosthesis (ipp) was experiencing discomfort due to pump positioning.The patient stated that the pump is painful, difficult to reach, and challenging to inflate and deflate.He also reported that the ipp pump is placing pressure on the artificial urinary sphincter (aus) pump, causing additional discomfort.There were no further patient complications reported.
 
Additional Manufacturer Narrative
Concomitant product udi for reservoir is (b)(4).There was no device available for analysis; therefore, no physical or visual analysis of the product could be performed.The reported patient symptoms of discomfort and pain are known risks associated with implant of these devices as indicated in the instructions for use.Based on the information available, a conclusion code of known inherent risk of device was assigned to this investigation.
 
Event or Problem Description
It was reported that the patient with this inflatable penile prosthesis (ipp) was experiencing discomfort due to pump positioning.The patient stated that the pump is painful, difficult to reach, and challenging to inflate and deflate.He also reported that the ipp pump is placing pressure on the artificial urinary sphincter (aus) pump, causing additional discomfort.There were no further patient complications reported.
 
Additional Manufacturer Narrative
Concomitant product udi for reservoir is (b)(4).There was no device available for analysis; therefore, no physical or visual analysis of the product could be performed.The reported patient symptoms of discomfort and pain are known risks associated with implant of these devices as indicated in the instructions for use.Based on the information available, a conclusion code of known inherent risk of device was assigned to this investigation.Correction to field h7: if remedial act init, type.Correction to field h9: correction/removal reporting #.
 
Search Alerts/Recalls

  New Search  |  Submit an Adverse Event Report

Brand Name
AMS 700? CX TENACIO? Pump
Common Device Name
prosthesis, penis, inflatable
Manufacturer (Section D)
BOSTON SCIENTIFIC CORPORATION
300 boston scientific way
marlborough MA 01752
Manufacturer (Section G)
Boston Scientific Corporation
300 boston scientific way
marlborough MA 01752
Manufacturer Contact
farshad fahimi
4100 hamline avenue north
building c
saint paul, MN 55112
MDR Report Key22932669
Report Number2124215-2025-59656
Device Sequence Number10231015
Product Code JCW
Combination Product (Y/N)Y
Initial Reporter StateMD
Initial Reporter CountryUS
PMA/510(K) Number
N970012
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2025
Device Explanted Year2026
Reporter Type Manufacturer
Report Source Consumer
Initial Reporter Occupation Non-Healthcare Professional
Remedial Action Recall
Type of Report Initial,Followup,Followup,Followup
Report Date (Section B) 09/16/2026
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? Yes
Operator of Device Lay User/Patient
Device Model Number72404431
Device Catalogue Number72404431
Device Lot Number1100669914
Was Device Available for Evaluation? Yes
Date Returned to Manufacturer02/10/2026
Is the Reporter a Health Professional? No
Was the Report Sent to FDA? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 08/04/2025
Supplement Date Received by Manufacturer11/13/2025
01/20/2026
01/10/2026
Initial Report FDA Received Date09/02/2025
Supplement Report FDA Received Date12/04/2025
01/23/2026
09/16/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured02/04/2025
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
If action reported to FDA under 21 USC 360i(g), list
FDA-assigned Recall Number or include a statement
Z-0143-2026
Patient Sequence Number1
Concomitant Medical Products
and Therapy/Usage Dates
RESERVOIR. LOT: 1100669564 UPN: 72404155; RESERVOIR. LOT: 1100669564 UPN: 72404155; RESERVOIR. LOT: 1100669564 UPN: 72404155
Outcome Attributed to Adverse Event Hospitalization; Required Intervention; Other;
Patient Age62 YR
Patient SexMale
-
-