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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BOSTON SCIENTIFIC CORPORATION MS PUMP; PROSTHESIS, PENIS, INFLATABLE

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BOSTON SCIENTIFIC CORPORATION MS PUMP; PROSTHESIS, PENIS, INFLATABLE Back to Search Results
Model Number 72404209
Medical Device Problem Code Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Codes Unspecified Infection (1930); Fluid Discharge (2686); Swelling/ Edema (4577)
Date of Event 12/23/2025
Type of Reportable Event Serious Injury
Event or Problem Description
It was reported that the patient with this inflatable penile prosthesis (ipp) developed a localized scrotal infection involving the pump site.The patient had previously undergone a revision procedure to exchange the tenacio pump with an ms pump.During the postoperative recovery period, the patient reported cycling the pump and returning to the gym for exercise.The patient subsequently experienced scrotal swelling and presented to the emergency department, where imaging identified a rim enhancing fluid collection surrounding the scrotal pump, consistent with a localized infection.A surgical procedure was performed in which the pump was explanted, metal tubing plugs were placed to retain the remaining components, and the scrotum was thoroughly irrigated.There were no further patient complications reported.
 
Additional Manufacturer Narrative
There was no device available for analysis and there was no report of a device performance allegation during treatment.The reported patient symptoms of infection, swelling and fluid discharge are known risks and noted as such in the device instructions for use.The device history record (dhr) review confirmed that the device met all material, assembly and performance specifications.A review of the device instructions for use (ifu) was completed and did not reveal any evidence of device misuse, off label use, or failure to follow instructions.A risk review was completed and confirmed that the event of fluid discharge, infection, and swelling was defined in the product risk documentation.This event type has been accounted for during analysis to support acceptable risk benefit for the product.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) developed a localized scrotal infection involving the pump site.The patient had previously undergone a revision procedure to exchange the tenacio pump with an ms pump.During the postoperative recovery period, the patient reported cycling the pump and returning to the gym for exercise.The patient subsequently experienced scrotal swelling and presented to the emergency department, where imaging identified a rim enhancing fluid collection surrounding the scrotal pump, consistent with a localized infection.A surgical procedure was performed in which the pump was explanted, metal tubing plugs were placed to retain the remaining components, and the scrotum was thoroughly irrigated.There were no further patient complications reported.
 
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Brand Name
MS 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 Key24134248
Report Number2124215-2026-03883
Device Sequence Number20197718
Product Code JCW
UDI-Device Identifier00878953003351
UDI-Public(01)00878953003351(17)270709(10)1100757168
Combination Product (Y/N)Y
Initial Reporter StateCA
Initial Reporter CountryUS
PMA/510(K) Number
N970012
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2025
Device Explanted Year2025
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial,Followup
Report Date (Section B) 03/03/2026
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? No
Operator of Device Lay User/Patient
Device Model Number72404209
Device Catalogue Number72404209
Device Lot Number1100757168
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 12/25/2025
Supplement Date Received by Manufacturer02/06/2026
Initial Report FDA Received Date01/21/2026
Supplement Report FDA Received Date03/03/2026
Date Device Manufactured07/09/2025
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
Patient Sequence Number1
Outcome Attributed to Adverse Event Required Intervention; Hospitalization;
Patient Age59 YR
Patient SexMale
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