PLASTIBELL

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2013-03-16 for PLASTIBELL manufactured by ..

Event Text Entries

[3195843] Was circumcised using a plastibell device; loss of foreskin resulted in anorgasmia, erectile dysfunction, excessive and uneven scarring, tearing of skin upon erection, and severe psychological trauma later in life.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5029428
MDR Report Key3015762
Date Received2013-03-16
Date of Report2013-03-16
Date of Event1987-03-10
Date Added to Maude2013-03-22
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NamePLASTIBELL
Generic NamePLASTIBELL
Product CodeFHG
Date Received2013-03-16
Device AvailabilityN
Device Sequence No1
Device Event Key0
Manufacturer.


Patients

Patient NumberTreatmentOutcomeDate
101. Deathisabilit 2013-03-16

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