FDA Adverse Event
Malfunction
Summary report: N
PUMP, INFUSION, IMPLANTED, PROGRAMMABLE
MDR report key: 21344164
·
Received February 10, 2025
Report
- Report Number
- MW5165813
- Event Type
- Malfunction
- Date Received
- February 10, 2025
- Report Date
- February 4, 2025
- Manufacturer
- INFUSYN THERAPEUTICS
- Product Code
- LKK
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- MN, US
- Reporter Occupation
- UNKNOWN
- Health Professional
- *
Narratives
Description of Event or Problem · 0
THE PATIENT REPORTED PREVIOUS FLOWONIX PUMPS AND CATHETERS THAT DID NOT WORK, AS PATIENT DID NOT RECEIVE PAIN RELIEF FOR THE PAST 3 YEARS. INFORMATION INDICATES THE FLOWONIX PUMP(S) WERE REPLACED WITH A (B)(6) PUMP, FLOWONIX CATHETER IS STILL IN USE. THIS REPORT REFLECTS INFORMATION RECEIVED BY FDA IN THE FORM OF A NOTIFICATION PER 803.22 (B)(2).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 784067 | PUMP, INFUSION, IMPLANTED, PROGRAMMABLE | PUMP, INFUSION, IMPLANTED, PROGRAMMABLE | LKK | INFUSYN THERAPEUTICS |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown |