FDA Adverse Event
Injury
Summary report: N
REMUNITY PUMP FOR REMODULIN (TREPROSTINIL) INJECTION
MDR report key: 18376141
·
Received December 21, 2023
Report
- Report Number
- 3016798778-2023-00078
- Event Type
- Injury
- Date Received
- December 21, 2023
- Report Date
- December 21, 2023
- Manufacturer
- MILLYARD ADVANCED MEDICAL PRODUCTS, LLC
- Product Code
- FRN
- PMA / PMN Number
- K190182
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NH, US
- Reporter Occupation
- RISK MANAGER
- Health Professional
- N
Narratives
Description of Event or Problem · 0
AN INITIAL REPORT OF HOSPITALIZATION WAS RECEIVED BY UNITED THERAPEUTICS DRUG SAFETY ON 28-NOV-2023 AND FORWARDED TO MILLYARD ADVANCED MEDICAL PRODUCTS, LLC ON 29-NOV-2023. THE PATIENT REPORTED THEIR PUMP WAS OFF ALL NIGHT DUE TO AN UNSPECIFIED PUMP ISSUE. THE PATIENT THEN TURNED THEIR PUMP ON IN THE MORNING, CAUSING THEM TO BLACK OUT AND BE HOSPITALIZED FOR FOUR DAYS. WHILE THEY WERE HOSPITALIZED, THEIR PHYSICIAN DECREASED THEIR REMODULIN DOSING. NO COMPONENTS OR ADDITIONAL INFORMATION ASSOCIATED WITH THE REPORTED EVENT HAVE BEEN MADE AVAILABLE TO THE MANUFACTURER FOR FURTHER EVALUATION DESPITE MULTIPLE REQUESTS. DESPITE NO REPORT OF DEATH OR SERIOUS INJURY, THIS ISSUE IS BEING REPORTED OUT OF AN ABUNDANCE OF CAUTION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 304813 | REMUNITY PUMP FOR REMODULIN (TREPROSTINIL) INJECTION | INFUSION PUMP | FRN | MILLYARD ADVANCED MEDICAL PRODUCTS, LLC | DKPI-11042-001 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 46 YR | Male | Hospitalization | ADEMPAS.| AMBRISENTAN. |