The penile prosthesis AMS Hydroflex was successfully introduced in 198
5, yet only 5 years later was withdrawn from the market. The approval
process of medical devices in the USA and Switzerland is critically an
alyzed. While the American Food and Drug Administration (FDA) is respo
nsible for approving the marketing of medical devices in the USA no su
ch office exists in Switzerland. In Switzerland the physician takes fu
ll responsibility when using a device. It is, however, intended to int
roduce similar to the USA three regulatory control categories dependin
g upon the degree of regulation necessary to assure safety and effecti
veness of each device.