FDA Adverse Event Injury Summary report: N

REMUNITY PUMP

MDR report key: 23390004 · Received October 27, 2025

Report

Report Number
MW5177961
Event Type
Injury
Date Received
October 27, 2025
Report Date
October 21, 2025
Manufacturer
DEKA RESEARCH & DEVELOPMENT CORP.
Product Code
QJY
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
US
Reporter Occupation
003
Health Professional
N

Narratives

Description of Event or Problem · 0

SQ REMUNITY SELF-FILL PT VIA REMUNITY PUMP. PT REPORTS CURRENTLY IN HOSPITAL DUE TO BLOOD CLOT IN LEG AND INFECTED SITE. PT WENT CHANGED SITE AND WHEN REMOVED IT LOOKED BAD SO WENT TO ER FOR CLOT AND INFECTION. UNKNOWN DATE PT PRESENTED TO HOSPITAL. PT RECEIVED 2 NEW PUMPS RECENTLY. PT KEEPS GETTING PUMP FAILURE ON NEW PUMP. PT ALSO HAD TO GO THROUGH 3 CARTRIDGES AND NEEDLES TO FILL PUMP. SERIAL NUMBER NOT PROVIDED. PT STARTED REMUNITY DEVICE IN (B)(6) 2023. DID THE REPORTED PRODUCT FAULT OCCUR WHILE IN USE WITH THE PATIENT? NO; DID THE PRODUCT ISSUE CAUSE OR CONTRIBUTE TO PATIENT OR CLINICAL INJURY? NO; IS THE ACTUAL DEVICE AVAILABLE FOR INVESTIGATION? YES, UPON RETURN. DID WE REPLACE THE DEVICE? PT RECEV'D 2 NEW PUMPS RECENTLY; DID THE PATIENT HAVE A BACKUP DEVICE THEY WERE ABLE TO SWITCH TO? YES; WHAT TROUBLESHOOTING WAS COMPLETED? SENDING EMAIL TO NCE TEAM TO CALL PT AND GO OVER PUMPS AGAIN SO THERE IS LESS WASTE. DID PT EXPERIENCE MISSED DOSES/INTERRUPTION IN THERAPY? NO. DIAGNOSIS FOR USE: PULMONARY ARTERIAL HYPERTENSION. PT CODE: 4595. DEVICE CODE: 2447. REFERENCED REPORT: MW5177960.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2798565 REMUNITY PUMP INFUSION PUMP, DRUG SPECIFIC, PHARMACY-FILLED QJY DEKA RESEARCH & DEVELOPMENT CORP.

Patients

Seq Age Sex Outcome Treatment
1 NA Male Hospitalization REMODULIN| WINREVAIR SDV (2/KIT)