FDA Adverse Event Malfunction Summary report: N

INF SET NERIA GUARD 60CM 9MM

MDR report key: 24033236 · Received January 12, 2026

Report

Report Number
MW5182007
Event Type
Malfunction
Date Received
January 12, 2026
Date of Event
January 5, 2026
Report Date
January 6, 2026
Manufacturer
INTRA PUMP INFUSION SYSTEMS/COVATEC, INC./UNOMEDICAL A/S
Product Code
FPA
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
US
Reporter Occupation
003
Health Professional
N

Narratives

Description of Event or Problem · 0

PT REPORTS EXPERIENCING DIARRHEA, HEADACHE, JAW PAIN, HYPOTENSION/ LOW BLOOD PRESSURE, RASH AND (UNSPECIFIED) STOMACH ISSUES SINCE THEIR LAST FILL. PT ALSO REPORTS EXPERIENCING DIZZINESS. PT REPORTS THEY EXPERIENCED ALL THESE SYMPTOMS IN THE HOSPITAL BUT MILDER IN INTENSITY. REASON(S), DATE(S) OF ADMITTANCE AND DISCHARGE, OR LENGTH OF HOSPITALIZATION IS UNKNOWN. PT ALSO REPORTS DEFECTIVE INFUSION SET NERIA GUARD LOT NUMBER 6012562. PT REPORTS THAT YESTERDAY (B)(6) 2026 THEIR PUMP KEPT BEEPING WITH AN OCCLUSION ALARM AND THERE WAS NO OCCLUSION, BUT A LEAK IN THE INFUSION SET WHICH PT REPLACED. IT IS UNKNOWN IF THE PT EXPERIENCED ANY ADVERSE EVENTS OR AN INTERRUPTION IN THERAPY DUE TO TUBING ISSUE. IT IS UNKNOWN IF THE INFUSION SET IS AVAILABLE FOR RETURN. NO FURTHER INFO, DETAILS, OR DATES AVAILABLE. CURRENT REMODULIN DOSE: 22.52NG/KG/MIN. SQ REMUNITY SELF-FILL PT VIA REMUNITY PRO PUMP. PT STARTED USING REMUNITY PRO DEVICE (B)(6) 2025.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
107460 INF SET NERIA GUARD 60CM 9MM SET, ADMINISTRATION, INTRAVASCULAR FPA INTRA PUMP INFUSION SYSTEMS/COVATEC, INC./UNOMEDICAL A/S 6012562

Patients

Seq Age Sex Outcome Treatment
1 44 YR Female REMODULIN.