FDA Adverse Event Malfunction Summary report: N

INTERA 3000

MDR report key: 23787803 · Received December 12, 2025

Report

Report Number
3015537318-2025-00118
Event Type
Malfunction
Date Received
December 12, 2025
Date of Event
November 13, 2025
Report Date
February 17, 2026
Manufacturer
INTERA ONCOLOGY, INC
Product Code
LKK
UDI-DI
00850014110147
PMA / PMN Number
P890055
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
PHYSICIAN
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. THE PUMP WAS TESTED IN HOUSE AND THE COMPLAINT OF THE PUMP BEING UNABLE TO BOLUS COULD NOT BE REPLICATED.

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. ON (B)(6) 2025, INTERA ONCOLOGY SHIPPED OUT RETURN KIT TO RETRIEVE THE DEVICE FOR EVALUATION. TO DATE, THE PUMP HAS NOT BEEN RECEIVED. THEREFORE, ONCE THE PUMP I RECEIVED AND THE INVESTIGATION IS COMPLETE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Description of Event or Problem · 0

INTERA ONCOLOGY WAS NOTIFIED BY A PHYSICIAN WHEN THE SCRUB TECH ATTEMPTED TO FLUSH THE BOLUS PATHWAY WITH LOW DOSE HEPARINIZED SALINE USING A PRIMED SPECIAL BOLUS NEEDLE (SBN), SHE WAS UNABLE TO FLUSH THE CATHETER. AFTER FOUR ATTEMPTS AT PULLING OUT THE NEEDLE AND REINSERTING IT PERPENDICULAR TO THE PUMP, THEY TOOK OUT A SBN FROM THE OR PREP KIT OF BACK UP PUMP SERIAL NUMBER (B)(6) AND ATTEMPTED TO A FIFTH TIME TO RULE OUT ANY DEFECTS IN PUMP SERIAL NUMBER (B)(6) SECOND SBNS. THE RESULT WAS THE SAME, SO THE CLINIC DECIDED TO OPEN AND PREP BACK UP PUMP SERIAL NUMBER (B)(6). THERE WERE NO ISSUES DURING THE PREP FOR THE BACKUP PUMP (B)(6) AND IT WAS IMPLANTED SUCCESSFULLY. IN ADDITION, IT WAS REPORTED THAT THE SCRUB TECH TOUCHED THE CATHETER OF PUMP SERIAL NUMBER (B)(6) AND NOTICED THAT A PART OF THE CATHETER FELT A LOT HARD COMPARED TO THE REST.

Description of Event or Problem · 0

INTERA ONCOLOGY WAS NOTIFIED BY A PHYSICIAN WHEN THE SCRUB TECH ATTEMPTED TO FLUSH THE BOLUS PATHWAY WITH LOW DOSE HEPARINIZED SALINE USING A PRIMED SPECIAL BOLUS NEEDLE (SBN), SHE WAS UNABLE TO FLUSH THE CATHETER. AFTER FOUR ATTEMPTS AT PULLING OUT THE NEEDLE AND REINSERTING IT PERPENDICULAR TO THE PUMP, THEY TOOK OUT A SBN FROM THE OR PREP KIT OF BACK UP PUMP SERIAL NUMBER (B)(6) AND ATTEMPTED TO A FIFTH TIME TO RULE OUT ANY DEFECTS IN PUMP SERIAL NUMBER (B)(6) SECOND SBNS. THE RESULT WAS THE SAME, SO THE CLINIC DECIDED TO OPEN AND PREP BACK UP PUMP SERIAL NUMBER (B)(6). THERE WERE NO ISSUES DURING THE PREP FOR THE BACKUP PUMP (B)(6) AND IT WAS IMPLANTED SUCCESSFULLY. IN ADDITION, IT WAS REPORTED THAT THE SCRUB TECH TOUCHED THE CATHETER OF PUMP SERIAL NUMBER (B)(6) AND NOTICED THAT A PART OF THE CATHETER FELT A LOT HARD COMPARED TO THE REST.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2703359 INTERA 3000 HEPATIC ARTERY INFUSION PUMP LKK INTERA ONCOLOGY, INC AP-03000H 30963569 00850014110147

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown