FDA Adverse Event
Injury
Summary report: N
PUMP, INFUSION, IMPLANTED, PROGRAMMABLE
MDR report key: 25172744
·
Received May 13, 2026
Report
- Report Number
- MW5188203
- Event Type
- Injury
- Date Received
- May 13, 2026
- Report Date
- May 7, 2026
- Manufacturer
- FLOWONIX MEDICAL, INC./INFUSYN THERAPEUTICS
- Product Code
- LKK
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- MN, US
- Reporter Occupation
- UNKNOWN
- Health Professional
- *
Narratives
Description of Event or Problem · 0
PATIENT MENTIONED SHE HAD A DIFFERENT BRAND OF PUMP THAT FAILED AND DR. POULTER PUT THE (B)(6) PUMP IN AND THEY HAD OTHER PATIENTS THAT HAD TROUBLE WITH THIS BRAND PUMP IN 2022. PT STATES SHE HAD A FLONIX PUMP BACK IN THE DAY THAT HAD STOPPED WORKING TOTALLY AND HAD GONE SEVERAL MONTHS WITH IT NOT WORKING. PT STATES WAS READING AS IT WAS GETTING BOLUS BUT REALLY WASN¿T SO DID OTHER TESTS AND GOT PATIENT IN TO HAVE A NEW PUMP PUT IN. THIS REPORT REFLECTS INFORMATION RECEIVED BY FDA IN THE FORM OF A NOTIFICATION PER 803.22 (B)(2).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 353730 | PUMP, INFUSION, IMPLANTED, PROGRAMMABLE | PUMP, INFUSION, IMPLANTED, PROGRAMMABLE | LKK | FLOWONIX MEDICAL, INC./INFUSYN THERAPEUTICS |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |