MAUDE MDR 25191793

MDR report key
25191793
Report number
3014159402-2026-00001
Event key
0
Event type
3
Date of event
2023-10-02
Date received
2026-05-15
Adverse event
1
Product problem
0
Patients in event
0
Reporter occupation
0
Health professional
0
Initial report to FDA
0
Event location
0

Manufacturer Contact#

Contact
MR. PRESTON LINES
Address
1443 W 800 N STE 303 OREM UT 84057 US
Phone
877-877-8772
Report source
M

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
138674RESTOREXPENILE TRACTION DEVICEPATHRIGHT MEDICAL, INC.LKYRESTOREX #11726NN
243821RESTOREXPENILE TRACTION DEVICEPATHRIGHT MEDICAL, INC.LKYRESTOREX #11726NN

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12026-05-150

Event Narratives#

N

Patient 0

MANUFACTURER RECEIVED COMPLAINT FROM CONSUMER REPORTING ERECTILE DYSFUNCTION AND DECREASED PENILE SENSITIVITY FOLLOWING USE OF THE RESTOREX DEVICE. CONSUMER REPORTED EVALUATION BY UROLOGIST; NO DOCUMENTATION CONFIRMING DEVICE-RELATED INJURY WAS PROVIDED. DEVICE WAS NOT RETURNED FOR EVALUATION. NO MALFUNCTION OR DEVICE DEFECT WAS IDENTIFIED. BASED ON AVAILABLE INFORMATION, A CAUSAL RELATIONSHIP BETWEEN THE DEVICE AND THE REPORTED SYMPTOMS COULD NOT BE ESTABLISHED. THIS REPORT IS BEING SUBMITTED IN AN ABUNDANCE OF CAUTION.

D

Patient 0

PATIENT REPORTED USING THE DEVICE APPROXIMATELY 5 HOURS PER DAY, EXCEEDING THE INSTRUCTIONS FOR USE WHICH STATE NOT TO USE THE DEVICE FOR MORE THAN 1 HOUR PER DAY OR MORE THAN 30 MINUTES AT A TIME AND TO SEPARATE SESSIONS BY AT LEAST 30 MINUTES. THE PATIENT ALSO REPORTED TIGHTENING THE CLAMP BEYOND NORMAL USE AND APPLYING MAXIMUM TENSION, SOMETIMES MANUALLY INCREASING FORCE. THE PATIENT REPORTED DECREASED PENILE SENSITIVITY AND WEAKER ERECTIONS. ON (B)(6) 2023 THE PATIENT WAS EVALUATED BY A UROLOGIST AND UNDERWENT A PENILE ULTRASOUND ON (B)(6) 2023. THE PATIENT REPORTED THAT THE ULTRASOUND SHOWED NUMERICAL FINDINGS SUGGESTIVE OF A POSSIBLE VENOUS LEAK. NO SURGICAL INTERVENTION OR HOSPITALIZATION WAS REPORTED. THE PATIENT WAS ADVISED TO DISCONTINUE USE. FOLLOW UP COMMUNICATION MONTHS LATER INDICATED THAT THE PATIENT REPORTED HIS CONDITION HAD RETURNED TO NORMAL. NO DEVICE MALFUNCTION WAS REPORTED.