FDA Adverse Event
Malfunction
Summary report: N
REMUNITY PUMP FOR REMODULIN (TREPROSTINIL) INJECTION
MDR report key: 23019990
·
Received September 10, 2025
Report
- Report Number
- 3016798778-2025-00107
- Event Type
- Malfunction
- Date Received
- September 10, 2025
- Date of Event
- August 8, 2025
- Report Date
- September 10, 2025
- Manufacturer
- MILLYARD ADVANCED MEDICAL PRODUCTS, LLC
- Product Code
- QJY
- UDI-DI
- 00850017421035
- PMA / PMN Number
- K202690
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IL, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 0
AN INITIAL EVENT NOTIFICATION WAS RECEIVED BY UNITED THERAPEUTICS DRUG SAFETY ON 11-AUG-2025 FROM CVS AND FORWARDED TO MILLYARD ADVANCED MEDICAL PRODUCTS, LLC, ON 12-AUG-2025. THE PATIENT'S SISTER REPORTED THAT THE PATIENT WAS ADMITTED TO THE HOSPITAL ON (B)(6) 2025 AFTER BOTH OF THE PATIENT'S REMUNITY PUMPS LEAKED WHILE THE PATIENT WAS ATTEMPTING TO CHANGE THEIR CASSETTE. NO COMPONENTS OR FURTHER INFORMATION RELATED TO THE REPORTED EVENT HAVE BEEN MADE AVAILABLE TO MILLYARD ADVANCED MEDICAL PRODUCTS, LLC, FOR ADDITIONAL INVESTIGATION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2047682 | REMUNITY PUMP FOR REMODULIN (TREPROSTINIL) INJECTION | INFUSION PUMP | QJY | MILLYARD ADVANCED MEDICAL PRODUCTS, LLC | DKPI-11042-001; DKPI-11036-001 | 00850017421035 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 34 YR | Male | Hospitalization | ADEMPAS| OPSUMIT |