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