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.