FDA Adverse Event Injury Summary report: N

PUMP VYAFUSER KIT

MDR report key: 23415714 · Received October 29, 2025

Report

Report Number
MW5178183
Event Type
Injury
Date Received
October 29, 2025
Report Date
October 24, 2025
Manufacturer
PHILLIPS-MEDISIZE A/S
Product Code
FRN
Adverse Event
Yes
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
US
Reporter Occupation
003
Health Professional
N

Narratives

Description of Event or Problem · 0

PATIENT AND PATIENT'S SISTER STATED THAT THEY HAVE TRIED REPLACING THE BATTERY. EACH TIME THEY TRY, THE PUMP WILL STATE PREPARING AND THEN STOPS. WHEN IT STOPS IT INDICATES A PROBLEM WAS DETECTED. THEY HAVE TRIED USING BOTH BATTERIES. ONE IS COMPLETELY CHARGED. THEY REACHED OUT TO THE NURSE AMBASSADOR WHO FELT THE PUMP WAS DEFECTIVE. AFTER TROUBLESHOOTING, A NEW PUMP IS BEING SENT. SISTER ALSO REPORTED THAT PATIENT EXPERIENCED AN ABSCESS BACK IN (B)(6) 2025 AND HAD ANOTHER ONE ABOUT 2 WEEKS AGO WHERE HE WENT TO THE ER AND WAS PROVIDED ANTIBIOTICS. HE IS DOING MUCH BETTER NOW AND MD IS AWARE. UNKNOWN IF PATIENT MISSED DOSE. UNKNOWN IF PATIENT EXPERIENCED ANY ADVERSE EVENTS. PRODUCT IS AVAILABLE FOR RETURN. UNKNOWN IF MD AWARE. NO FURTHER INFORMATION, DETAILS, OR DATES AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1541089 PUMP VYAFUSER KIT PUMP, INFUSION FRN PHILLIPS-MEDISIZE A/S

Patients

Seq Age Sex Outcome Treatment
1 NA Male VIAL ADAPTER VENTED TRNSFR.| VYALEV.