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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BOSTON SCIENTIFIC CORPORATION AMS 700? CX TENACIO? PUMP; PROSTHESIS, PENIS, INFLATABLE

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BOSTON SCIENTIFIC CORPORATION AMS 700? CX TENACIO? PUMP; PROSTHESIS, PENIS, INFLATABLE Back to Search Results
Model Number 72404432
Medical Device Problem Code Mechanical Problem (1384)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 02/02/2026
Type of Reportable Event Serious Injury
Additional Manufacturer Narrative
The device is not available for analysis; therefore, no physical analysis of the product could be performed.The reported device performance allegation cannot be confirmed.Based on the information available the cause that contributed to the reported event cannot be established.Model number/catalog number: 720185-01.Serial number: n/a.Batch/lot number: 1100519160.Model/catalog description: reservoir.Unique identifier (udi) # (b)(4).
 
Event or Problem Description
It was reported that the patient with this inflatable penile prosthesis (ipp) had difficulties with the activation of his device.As a result, the tenacio pump was explanted and replaced with a ms pump.No patient complications were reported.
 
Additional Manufacturer Narrative
The device is not available for analysis; therefore, no physical analysis of the product could be performed.The reported device performance allegation cannot be confirmed.Based on the information available the cause that contributed to the reported event cannot be established.Model number/catalog number: 720185-01.Serial number: n/a.Batch/lot number: 1100519160.Model/catalog description: reservoir.Unique identifier (udi) # (b)(4).Correction to field h9: correction/removal reporting #.
 
Event or Problem Description
It was reported that the patient with this inflatable penile prosthesis (ipp) had difficulties with the activation of his device.As a result, the tenacio pump was explanted and replaced with a ms pump.No patient complications were reported.
 
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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 Key24801735
Report Number2124215-2026-18781
Device Sequence Number21219452
Product Code JCW
UDI-Device Identifier00191506021337
UDI-Public(01)00191506021337(17)260903(10)1100582074
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 Year2026
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Health Professional,Company Representative
Initial Reporter Occupation Physician
Remedial Action Recall,Other
Type of Report Initial,Followup
Report Date (Section B) 04/08/2026
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 Expiration Date09/03/2026
Device Model Number72404432
Device Catalogue Number72404432
Device Lot Number1100582074
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 03/13/2026
Supplement Date Received by Manufacturer04/07/2026
Initial Report FDA Received Date04/07/2026
Supplement Report FDA Received Date04/08/2026
Date Device Manufactured09/03/2024
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-0142-2026
Patient Sequence Number1
Outcome Attributed to Adverse Event Required Intervention; Hospitalization;
Patient Age69 YR
Patient SexMale
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