FDA Adverse Event Malfunction Summary report: N

REMUNITY PUMP FOR REMODULIN (TREPROSTINIL) INJECTION

MDR report key: 21893695 · Received April 23, 2025

Report

Report Number
3016798778-2025-00044
Event Type
Malfunction
Date Received
April 23, 2025
Date of Event
March 22, 2025
Report Date
April 23, 2025
Manufacturer
MILLYARD ADVANCED MEDICAL PRODUCTS, LLC
Product Code
QJY
UDI-DI
00850017421035
PMA / PMN Number
K202690
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 THE POTENTIAL FOR HOSPITALIZATION WAS RECEIVED BY UNITED THERAPEUTICS DRUG SAFETY ON (B)(6) 2025 AND FORWARDED TO MILLYARD ADVANCED MEDICAL PRODUCTS, LLC ON 25-MAR-2025. THE PATIENT REPORTED THAT HER PUMP WAS ALARMING AND THE REMOTE WOULD NOT TURN ON. TROUBLESHOOTING WAS UNSUCCESSFUL. WITH PHONE SUPPORT, THE PATIENT WAS ABLE TO RESUME INFUSION ON HER BACKUP SYSTEM. THE PATIENT THEN REPORTED HER REMOTE BATTERY WAS LOW AND IT POWERED OFF. THE PATIENT COULD NOT TELL IF SHE WAS STILL INFUSING MEDICATION, AND THEY DISCONNECTED THE CASSETTE. THE SYSTEMS WERE SCHEDULED TO BE REPLACED. NO ADVERSE SIDE EFFECTS WERE REPORTED. NO COMPONENTS OR FURTHER INFORMATION RELATED TO THE REPORTED EVENT HAVE BEEN MADE AVAILABLE TO MILLYARD ADVANCED MEDICAL PRODUCTS, LLC FOR FURTHER EVALUATION. 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
1292153 REMUNITY PUMP FOR REMODULIN (TREPROSTINIL) INJECTION INFUSION PUMP QJY MILLYARD ADVANCED MEDICAL PRODUCTS, LLC DKPI-11042-001 00850017421035

Patients

Seq Age Sex Outcome Treatment
1 38 YR Female Hospitalization ADEMPAS| OPSUMIT