FDA Adverse Event Injury Summary report: N

INTERA 3000

MDR report key: 23480215 · Received November 5, 2025

Report

Report Number
3015537318-2025-00103
Event Type
Injury
Date Received
November 5, 2025
Date of Event
October 8, 2025
Report Date
November 5, 2025
Manufacturer
INTERA ONCOLOGY, INC
Product Code
LKK
UDI-DI
00850014110147
PMA / PMN Number
P890055
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
PHYSICIAN ASSISTANT
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

A DEVICE HISTORY REVIEW WAS PERFORMED AND CONFIRMED THIS DEVICE MET MANUFACTURING SPECIFICATIONS PRIOR TO DISTRIBUTION AND THERE WERE NO MANUFACTURING DEVIATIONS THAT COULD HAVE CONTRIBUTED TO THE REPORTED EVENT. INTERA ONCOLOGY HAS REACHED OUT TO THE PHYSICIAN MULTIPLE TIMES TO OBTAIN INFORMATION WITH NO SUCCESS. THE EXACT ROOT CAUSE OF WHY THE PUMP FLIPPED IS UNKNOWN. HOWEVER, DEVICE MIGRATION IS A KNOWN ADVERSE EVENT LISTED ON THE LABELING OF THE INTERA 3000 PUMP AND INSTRUCTIONS FOR USE.

Description of Event or Problem · 0

INTERA ONCOLOGY RECEIVED A REPORT FROM A PHYSICIAN THAT ON (B)(6) 2025, THEY WERE UNABLE TO EMPTY AND REFILL AN INTERA 3000 HEPATIC ARTERY INFUSION PUMP. ON (B)(6) 2025, THE PATIENT WAS SENT TO (B)(6) INSTITUTE, AND THEY WERE ALSO UNABLE TO ACCESS THE PUMP. THE PATIENT WAS SENT TO (B)(6) FOR A CT SCAN THAT SHOWED THE PUMP HAD FLIPPED OVER. THE PATIENT WAS TAKEN TO SURGERY, AND THE PUMP WAS FLIPPED BACK OVER AND SECURED TO THE FASCIA. THE PUMP WAS REFILLED AT THIS TIME WITH 30MLS HIGH DOSE HEPARINIZED SALINE (1000 UNITS/ML).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2678113 INTERA 3000 HEPATIC ARTERY INFUSION PUMP LKK INTERA ONCOLOGY, INC AP-03000H 30555095 00850014110147

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Required Intervention