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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BOSTON SCIENTIFIC CORPORATION TACTRA; PROSTHESIS PENILE

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BOSTON SCIENTIFIC CORPORATION TACTRA; PROSTHESIS PENILE Back to Search Results
Model Number 720081-01
Medical Device Problem Code Mechanical Problem (1384)
Health Effect - Clinical Code Perforation (2001)
Date of Event 01/01/2026
Type of Reportable Event Serious Injury
Additional Manufacturer Narrative
B3 date of event: exact date unknown.D6b explant date: exact date unknown.Detailed product information was not provided to bsc.We completed a good faith effort to obtain the information.Because the product is unknown at this time, we are unable to provide the complete unique identifier (udi) # and other product specific information.If additional details become available, a supplemental report will be submitted.The device is not available for analysis; therefore, no physical analysis of the product could be performed.The reported allegation of mechanical issue cannot be confirmed.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.The reported patient symptom of perforation is a known risk associated with this device type/procedure, and it is noted as such as in the instructions for use.Based on the information available, the cause that contributed to the reported event cannot be excluded as a device problem.
 
Event or Problem Description
It was reported that a patient with a tactra penile prosthesis experienced crural perforation.Additionally, the patient was experiencing functional difficulties with the device, including inadequate rigidity and bending.These deficiencies were confirmed during a medical consultation.A surgical procedure was performed to remove and replace the tactra.No further patient complications were reported.
 
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Brand Name
TACTRA
Common Device Name
PROSTHESIS PENILE
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 Key24450074
Report Number2124215-2026-10638
Device Sequence Number9969544
Product Code FAE
UDI-Device Identifier08714729979357
UDI-Public(01)08714729979357
Combination Product (Y/N)N
Initial Reporter CountryBR
PMA/510(K) Number
K183619
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2025
Device Explanted Year2026
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Other,Foreign,Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 02/25/2026
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 Number720081-01
Device Catalogue Number720081-01
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 01/28/2026
Initial Report FDA Received Date02/25/2026
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 Age55 YR
Patient SexMale
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