FDA Adverse Event Injury Summary report: N

FLOWONIX (PROMETRA) INTRATHECAL PAIN PUMP

MDR report key: 13480094 · Received February 7, 2022

Report

Report Number
MW5107285
Event Type
Injury
Date Received
February 7, 2022
Date of Event
May 15, 2019
Report Date
February 3, 2022
Manufacturer
FLOWONIX MEDICAL, INC.
Product Code
LKK
Product Problem
Yes
Report Source
Voluntary report
Reporter Occupation
NURSE
Health Professional
Yes

Narratives

Description of Event or Problem · 0

PATIENT PRESENTED TO THE CLINIC WITH A FLOWONIX INTRATHECAL PAIN PUMP. FOLLOWING PROTOCOL BEFORE AN MRI WITH THIS PUMP, THE MEDICATION WAS REMOVED FROM THE PUMP AND 10.9 ML WAS REMOVED, WHICH WAS WITHIN NORMAL PARAMETERS OF THE EXPECTED AMOUNT, AND THE PUMP'S RESERVOIR VOLUME WAS SET TO 0 ML, AND RATE WAS SET TO RUN AT 0 ML/DAY. PATIENT CAME BACK EARLY AFTERNOON TO PUT 20 ML OF NEW MEDICATION BACK INTO THE PUMP. PUMP WAS ACCESSED AND A 15 SECOND PULL BACK AND 2 ML OF FLUID WAS REMOVED, AFTER A SECOND PULL BACK 1 ML WAS REMOVED, AND AFTER A 3RD PULL BACK 1 ML WAS REMOVED. AFTER A FULL 1 MINUTE ASPIRATION 4.7 ML WAS REMOVED. FOR SAFETY, 20 ML OF NORMAL SALINE WAS PUT BACK IN THE PUMP AND PATIENT'S RATE WAS SET BACK TO THE ORIGINAL SETTING, AND WE MONITOR PATIENT. HE BEGAN HAVING OPIOID WITHDRAWAL SYMPTOMS: N/V, SWEATING AND HIS PULSE OX AT ROOM AIR WAS 88% WITH NO HISTORY OF LUNG ISSUES. WE SENT PATIENT TO THE ER. FLOWONIX RECOMMENDED TAKING THE NACL OUT DUE TO A POTENTIAL FAULTY VALVE FOLLOWING THE MRI BUT WE HAD ALREADY D/C THE PATIENT TO ER. AFTER PATIENT'S ER VISIT, HE CAME BACK TO OUR CLINIC THAT EVENING. ZERO (0) ML WAS IN THE RESERVOIR WHEN WE HAD PLACED 20 ML OF NORMAL SALINE WITHIN A FEW HOURS. UPON ASPIRATION WITH A 1 MINUTE PULL BACK 1 ML OF FLUID WAS NOTED AND AFTER ANOTHER 1 MINUTE ASPIRATION 2 ML OF FLUID WAS NOTED. PATIENT WAS REFERRED TO A SURGEON TO HAVE THIS PUMP REMOVED DUE TO A FAULTY VALVE POST MRI. THIS PATIENT HAD THE FLOWONIX INTRATHECAL PUMP FOR A TOTAL OF 6 YEARS. FLOWONIX GENERALLY LAST 10 YEARS BUT CAN LAST LONGER. FDA SAFETY REPORT ID # (B)(4).

Description of Event or Problem · 0

PATIENT PRESENTED TO THE CLINIC WITH A FLOWONIX INTRATHECAL PAIN PUMP. FOLLOWING PROTOCOL BEFORE AN MRI WITH THIS PUMP, THE MEDICATION WAS REMOVED FROM THE PUMP AND 10.9 ML WAS REMOVED, WHICH WAS WITHIN NORMAL PARAMETERS OF THE EXPECTED AMOUNT, AND THE PUMP'S RESERVOIR VOLUME WAS SET TO 0 ML, AND RATE WAS SET TO RUN AT 0 ML/DAY. PATIENT CAME BACK EARLY AFTERNOON TO PUT 20 ML OF NEW MEDICATION BACK INTO THE PUMP. PUMP WAS ACCESSED AND A 15 SECOND PULL BACK AND 2 ML OF FLUID WAS REMOVED, AFTER A SECOND PULL BACK 1 ML WAS REMOVED, AND AFTER A 3RD PULL BACK 1 ML WAS REMOVED. AFTER A FULL 1 MINUTE ASPIRATION 4.7 ML WAS REMOVED. FOR SAFETY, 20 ML OF NORMAL SALINE WAS PUT BACK IN THE PUMP AND PATIENT'S RATE WAS SET BACK TO THE ORIGINAL SETTING, AND WE MONITOR PATIENT. HE BEGAN HAVING OPIOID WITHDRAWAL SYMPTOMS: N/V, SWEATING AND HIS PULSE OX AT ROOM AIR WAS 88% WITH NO HISTORY OF LUNG ISSUES. WE SENT PATIENT TO THE ER. FLOWONIX RECOMMENDED TAKING THE NACL OUT DUE TO A POTENTIAL FAULTY VALVE FOLLOWING THE MRI BUT WE HAD ALREADY D/C THE PATIENT TO ER. AFTER PATIENT'S ER VISIT, HE CAME BACK TO OUR CLINIC THAT EVENING. ZERO (0) ML WAS IN THE RESERVOIR WHEN WE HAD PLACED 20 ML OF NORMAL SALINE WITHIN A FEW HOURS. UPON ASPIRATION WITH A 1 MINUTE PULL BACK 1 ML OF FLUID WAS NOTED AND AFTER ANOTHER 1 MINUTE ASPIRATION 2 ML OF FLUID WAS NOTED. PATIENT WAS REFERRED TO A SURGEON TO HAVE THIS PUMP REMOVED DUE TO A FAULTY VALVE POST MRI. THIS PATIENT HAD THE FLOWONIX INTRATHECAL PUMP FOR A TOTAL OF 6 YEARS. FLOWONIX GENERALLY LAST 10 YEARS BUT CAN LAST LONGER. FDA SAFETY REPORT ID # (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
89885 FLOWONIX (PROMETRA) INTRATHECAL PAIN PUMP PUMP, INFUSION, IMPLANTED, PROGRAMMABLE LKK FLOWONIX MEDICAL, INC. VERSION 0.26

Patients

Seq Age Sex Outcome Treatment
1 Male Other| H