SYNCHROMED II
Report
- Report Number
- 3004209178-2025-19205
- Event Type
- Injury
- Date Received
- November 11, 2025
- Date of Event
- October 19, 2025
- Report Date
- December 30, 2025
- Manufacturer
- MEDTRONIC PUERTO RICO OPERATIONS CO.
- Product Code
- LKK
- UDI-DI
- 00763000634100
- PMA / PMN Number
- P860004
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PA, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
CONTINUATION OF D10: PRODUCT ID 8598A SERIAL# (B)(6). IMPLANTED: (B)(6) 2017: PRODUCT TYPE CATHETER PRODUCT ID A820. SERIAL# UNKNOWN: PRODUCT TYPE SOFTWARE SECTION D INFORMATION REFERENCES THE MAIN COMPONENT OF THE SYSTEM. OTHER RELEVANT DEVICE(S) ARE: PRODUCT ID: 8598A, SERIAL/LOT #: (B)(6), UBD: 02-JUN-2018, UDI#: (B)(4). MEDTRONIC SUBMITS THIS REPORT TO COMPLY WITH FDA REGULATIONS 21 CFR PARTS 4 AND 803. MEDTRONIC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEE CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. ANY REQUIRED FIELDS THAT ARE UNPOPULATED ARE BLANK BECAUSE THE INFORMATION IS CURRENTLY UNKNOWN OR UNAVAILABLE. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.
REVIEW OF THIS MDR AND/OR ADDITIONAL INFORMATION RECEIVED SHOWS THAT THERE IS NO INFORMATION TO REASONABLY SUGGEST THAT THE DEVICE IN THIS REPORT MAY HAVE CAUSED OR CONTRIBUTED TO A DEATH OR SERIOUS INJURY OR THAT THE DEVICE IN THIS REPORT HAS MALFUNCTIONED. THEREFORE, THIS EVENT DID NOT AND DOES NOT MEET THE REPORTING REQUIREMENTS STIPULATED IN 21 CFR 803. NOTE THAT THE H6 CODES HAVE BEEN UPDATED TO REFLECT THE NEW INFORMATION AND B2 NO LONGER HAS AN OUTCOME ATTRIBUTED TO AN ADVERSE EVENT. MEDTRONIC SUBMITS THIS REPORT TO COMPLY WITH FDA REGULATIONS 21 CFR PARTS 4 AND 803. MEDTRONIC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEE CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. ANY REQUIRED FIELDS THAT ARE UNPOPULATED ARE BLANK BECAUSE THE INFORMATION IS CURRENTLY UNKNOWN OR UNAVAILABLE. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.
INFORMATION WAS RECEIVED FROM A HEALTHCARE PROVIDER AND CONSUMER REGARDING A PATIENT WITH AN IMPLANTABLE PUMP CONTAINING MORPHINE (U NKNOWN) FOR SPINAL PAIN INDICATIONS. IT WAS REPORTED THAT THE PATIENT STATED THEY BELIEVE THE PUMP WAS NOT WORKING BECAUSE THEY ATTEMPTED TO GET A BOLUS AND IT DID NOT GO THROUGH. THE HEALTHCARE PROVIDER (HCP) CONFIRMED THAT THERE WERE NO ALERTS ON THE HANDSET. IT WAS REPORTED THAT PATIENT HAD AN INCREASE IN PAIN, NAUSEA, WEAKNESS AND SHAKING. PATIENT IS CURRENTLY IN THE HOSPITAL. CALLER STATED THE HCP HAS "PULLED" TWO SAMPLES OF CEREBROSPINAL FLUID (CSF) THAT WERE INFECTED, DARK YELLOW AND CLOUDY. THE HCP HAS TESTED THE WHITE CELL, AND OTHER TESTS BUT CALLER DOESN'T BELIEVE THEY HAVE INTERROGATED THE PUMP OR TESTED THE CATHETER. CALLER STATED THE HCP CONSIDERED THE PATIENT MAY HAVE MENINGITIS. PATIENT STATED THEY THINK THE CATHETER WAS KINKED. PATIENT AND CALLER STATED THE PATIENT'S BLOOD PRESSURE IS VERY HIGH. 246/109. 240/130. CALLER WAS REDIRECTED TO PATIENTS HCP TO ADDRESS MEDICAL CONCERNS.
ADDITIONAL INFORMATION WAS RECEIVED FROM THE HEALTHCARE PROVIDER (HCP). WHEN ASKED ABOUT THE CAUSE OF THE PATIENT TRYING TO BOLUS AND IT NOT GOING THROUGH, THE HCP REPORTED THIS WAS NOT THE CASE AND THAT LOGS REVEALED NORMAL PERSONAL THERAPY MANAGER (PTM) FUNCTION. THE HCP STATED QUESTIONS RELATING TO THE SOFTWARE VERSION, ACTIONS AND RESOLUTION FOR THE BOLUS ISSUE, CLARIFICATION REGARDING THE REPORT THE CATHETER WAS KINKED, CAUSE OF A CATHETER KINK, DIAGNOSTICS AND ACTIONS REGARDING THE CATHETER KINK AND THE CATHETER KINK RESOLUTION WERE NOT APPLICABLE. THE HCP REPORTED THAT THE CAUSE OF THE PATIENT'S CURRENT HOSPITALIZATION IS SEPSIS THAT IS 'UNRELATED TO THE HARDWARE'. THE PATIENT'S SYMPTOMS OF PAIN, NAUSEA, WEAKNESS, SHAKING, HIGH BLOOD PRESSURE, AND CEREBRAL SPINAL FLUID LOOKING DARK YELLOW AND CLOUDY WERE REPORTED AS BEING RELATED TO THE MENINGITIS. IT WAS REPORTED THAT ACTIONS TAKEN TO RESOLVE THE MENINGITIS AND ADDITIONAL SYMPTOMS WAS INPATIENT CARE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2525241 | SYNCHROMED II | PUMP, INFUSION, IMPLANTED, PROGRAMMABLE | LKK | MEDTRONIC PUERTO RICO OPERATIONS CO. | 8637-40 | 00763000634100 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 56 YR | Male | Required Intervention | "SEE H11....". |