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U.S. Department of Health and Human Services

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

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BOSTON SCIENTIFIC CORPORATION AMS 700? TENACIO? Pump; prosthesis, penis, inflatable Back to Search Results
Model Number 72404429
Medical Device Problem Code Unintended Deflation (4061)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 01/01/2026
Type of Reportable Event Serious Injury
Event or Problem Description
It was reported that the patient with an inflatable penile prosthesis (ipp) was dissatisfied with the tenacio pump and claimed that the device would spontaneously deflate.A revision procedure was performed at the patient's request, during which the tenacio pump was explanted and replaced with an 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.Therefore, a conclusion code of cause not established was assigned to this investigation.Model number/catalog number: 720185-01.Serial number: n/a.Batch/lot number: 1100551591.Model/catalog description: reservoir flat iz 100 ml.Unique identifier (udi) #: (b)(4).
 
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Brand Name
AMS 700? 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 Key50379353
Report Number2124215-2026-45188
Device Sequence Number9681285
Product Code JCW
UDI-Device Identifier00191506021306
UDI-Public(01)00191506021306(17)260412(10)1100490872
Combination Product (Y/N)Y
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
Type of Report Initial
Report Date (Section B) 08/21/2026
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 Expiration Date04/12/2026
Device Model Number72404429
Device Catalogue Number72404429
Device Lot Number1100490872
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer Not provided
Initial Report FDA Received Date08/21/2026
Date Device Manufactured04/12/2024
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
Patient Sequence Number1
Outcome Attributed to Adverse Event Hospitalization; Required Intervention;
Patient Age53 YR
Patient SexMale
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