FDA Adverse Event Malfunction Summary report: N

SYNCHROMED EL

MDR report key: 1061473 · Received June 13, 2008

Report

Report Number
6000030-2008-03214
Event Type
Malfunction
Date Received
June 13, 2008
Date of Event
January 31, 2007
Report Date
February 12, 2007
Manufacturer
RICE CREEK MFG.
Product Code
LKK
PMA / PMN Number
P860004
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THIS REPORT IS BEING SENT FOLLOWING AN INTERNAL AUDIT.

Description of Event or Problem · 1

PHYSICIAN REPORTED THE DRUG PUMP WAS INTERROGATED IN 2007, AND REVEALED A PUMP MEMORY ERROR MESSAGE AND STOPPED PUMP FOR 282HRS. ALSO REPORTED WAS THAT THE PT WAS ASYMPTOMATIC. THE PHYSICIAN INDICATED THE PUMP WAS LAST CHANGED WITH THE PROGRAMMER ON 1/31/07 AND A PUMP MEMORY ERROR WAS OBSERVED. MEDTRONIC REP. WAS THERE TO ASSIST WITH REPROGRAMMING, BUT PUMP ALARM CONTINUED TO SOUND. A STOP THERAPY WAS NOT PROGRAMMED AT THAT TIME. PT WAS SENT HOME AND PUMP CONTINUED TO ALARM. DURING THE PROGRAMMING SESSION, A THERAPY STOP WAS PROGRAMMED WHICH CLEARED THE MEMORY ERROR RETURNING THE PUMP TO NORMAL OPERATION. PT WAS BEING TREATED FOR NON-MALIGNANT PAIN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SYNCHROMED EL LKK RICE CREEK MFG. 8627L18 NA

Patients

Seq Age Sex Outcome Treatment
1 62 YR Required Intervention CATHETER: MODEL 8709AA| PROGRAMMERS: MODELS 8840 AND 8821