FDA Adverse Event Malfunction Summary report: N

REMUNITY PUMP FOR REMODULIN (TREPROSTINIL) INJECTION

MDR report key: 22567998 · Received July 22, 2025

Report

Report Number
3016798778-2025-00092
Event Type
Malfunction
Date Received
July 22, 2025
Date of Event
October 25, 2024
Report Date
July 22, 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

INFORMATION WAS DISCOVERED BY MILLYARD ADVANCED MEDICAL PRODUCTS, LLC BY WAY OF A TECHNICAL INVESTIGATION COMPLETED ON 27-JUN-2025. DESPITE NO REPORT OF DEATH OR SERIOUS INJURY, THIS INFORMATION IS BEING REPORTED OUT OF AN ABUNDANCE OF CAUTION. THE PATIENT REPORTED THAT HE WAS HAVING DIFFICULTY ATTACHING AND DETACHING CASSETTES TO BOTH OF HIS PUMPS. REPLACEMENT SYSTEMS WERE SENT. NO INTERRUPTION IN THERAPY OR ADVERSE SIDE EFFECTS WERE REPORTED. DURING INVESTIGATION, PUMPS (B)(6) SHOWED EVIDENCE OF RESIDUE FROM FLUID INGRESS IN THEIR BUTTON SLOTS. A TEST DELIVERY COULD NOT BE PERFORMED ON EITHER SYSTEM AS THE CASSETTES WERE TOO DIFFICULT TO FULLY ATTACH TO THE PUMPS. THE REPORTED ISSUE WAS CONFIRMED. THE CAUSE OF THE FLUID INGRESS CANNOT BE DETERMINED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1784562 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 34 YR Male Hospitalization ACETAMINOPHEN.| ADEMPAS.| ASPIRIN EC.| DIGOXIN.| JARDIANCE.| LOPERAMIDE.| OPSUMIT.| POTASSIUM CHLORIDE.| REGLAN.| SPIRONOLACTONE.| TORSEMIDE.| TRAMADOL HCL.