FDA Adverse Event Injury Summary report: N

SYNCHROMED II

MDR report key: 2840265 · Received November 20, 2012

Report

Report Number
3004209178-2012-10567
Event Type
Injury
Date Received
November 20, 2012
Report Date
January 2, 2014
Manufacturer
MDT PUERTO RICO OPERATIONS CO
Product Code
LKK
PMA / PMN Number
P860004
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TN, US
Reporter Occupation
PATIENT

Narratives

Additional Manufacturer Narrative · 1

(B)(4).

Additional Manufacturer Narrative · 1

(B)(4).

Additional Manufacturer Narrative · 1

(B)(4).

Additional Manufacturer Narrative · 1

(B)(4).

Additional Manufacturer Narrative · 1

(B)(4)

Additional Manufacturer Narrative · 1

PRODUCT ID 8709SC, SERIAL# (B)(4), IMPLANTED: 2012-(B)(6), PRODUCT TYPE CATHETER. (B)(4).

Description of Event or Problem · 1

ADDITIONAL INFORMATION WAS REPORTED THAT THE 1ST 3 MONTHS AFTER IMPLANTED, THE INCISION SITE WAS VERY SWOLLEN, AND THE PUMP WAS FLIPPED, AND THE PATIENT DIDN¿T HAVE PAIN RELIEF. THE PATIENT STATED WHEN SHE WAS SITTING ON THE TOILET; THE PUMP WOULD TURN SIDEWAYS. THE PATIENT HAD DYE STUDY WHICH THE PATIENT NEEDED TO FLIP THE PUMP FOR THEM TO DO IT. THE PATIENT HAD A PUMP REVISION, AND THE PATIENT FELT THE PUMP WAS IMPLANTED DEEPER AND STABLE, AND THE PATIENT WAS GETTING PAIN RELIEF.

Description of Event or Problem · 1

IT WAS REPORTED THE AREA AROUND PUMP WAS SWOLLEN AND "MOVES AROUND IN THE POCKET AND FLIPS AROUND". IT WAS ALSO REPORTED NEVER HAVING THERAPEUTIC EFFECT. PHYSICIAN TOOK A SYRINGE AND 'TOOK OUT A BUNCH OF FLUID THAT IS AROUND THE PUMP'. A DYE STUDY WAS PERFORMED ON (B)(6)-2012 RESULTS WERE UNAVAILABLE AT DATE OF THIS REPORT. THE DRUG BEING USED IN THE PUMP WAS MORPHINE (UNKNOWN). ADDITIONAL INFORMATION WAS REQUESTED BUT WAS NOT AVAILABLE AT THE DATE OF THIS REPORT.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE PATIENT WAS NOT EXPERIENCING PAIN RELIEF SINCE THE PUMP WAS IMPLANTED IN (B)(6) 2012. THE PUMP SITE WAS SWOLLEN FOR THREE MONTHS AFTER IMPLANT AND IT ¿WOULD NOT GO DOWN.¿ THE PUMP WAS FLOATING AND TWISTING AROUND. WHEN THE PATIENT WOULD SIT ON ANYTHING HARD, THE EXAMPLE SHE GAVE WAS SITTING ON THE TOILET, THE PUMP WOULD TURN SIDEWAYS. THE HEALTHCARE PROVIDER (HCP) ORDERED A DYE STUDY, BUT IN ORDER FOR THEM TO DO THE DYE STUDY THE PATIENT HAD TO FLIP THE PUMP FOR THEM. THE PATIENT¿S PUMP WAS REPLACED (B)(6) 2012 AND IT WAS IMPLANTED DEEPER. THE PUMP FELT MORE STABILIZED. THE PATIENT WENT IN TO HAVE THEIR STITCHES TAKEN OUT (B)(6) 2012 AND A DRAIN WAS PUT IN. THE FLUID COMING FROM THE DRAIN WAS ¿AWFUL LOOKING¿ AND ¿GRAYISH¿ IN COLOR. THE HCP STATED THAT PUMP PROBABLY WAS NOT GOING TO WORK AND THEY WOULD HAVE TO FIGURE SOMETHING ELSE OUT. THE PATIENT WAS GIVEN ANTIBIOTICS. THE PUMP WAS ¿MAYBE¿ INFECTED, BUT THE HCP WAS "TRYING EVERYTHING" BEFORE HAVING TO TAKE IT OUT.

Description of Event or Problem · 1

ADDITIONAL REVIEW INDICATED ONLY THE INFORMATION LEADING TO THE PUMP REPLACEMENT ON 2012-(B)(6) PERTAINS TO THIS MANUFACTURER¿S REPORT. UPON FURTHER REVIEW, INFORMATION RELATED TO THE POST-REPLACEMENT NO LONGER APPLIES TO THIS MANUFACTURER¿S REPORT. ALL FURTHER INFORMATION REGARDING THE INFECTION/POST-REPLACEMENT WILL BE REPORTED UNDER MANUFACTURER REPORT #3007566237-2014-01190.

Description of Event or Problem · 1

IT WAS LATER REPORTED THAT THE PATIENT HAD AN INJECTION IN HER BACK BECAUSE "IT HAD A HOLE IN IT". THEN IT GOT INFECTED AND SWELLED UP ALMOST LIKE A FOOTBALL AND SNAKED UP HER BACK, SO THEY TOOK IT OUT. IT WAS ALSO STATED THAT THE MORPHINE WASN'T HELPING HIS PAIN AT ALL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SYNCHROMED II PUMP, INFUSION, IMPLANTED, PROGRAMMABLE LKK MDT PUERTO RICO OPERATIONS CO 8637-40

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention