FDA Adverse Event Injury Summary report: N

SYNCHROMED II

MDR report key: 2983130 · Received February 28, 2013

Report

Report Number
3004209178-2013-03160
Event Type
Injury
Date Received
February 28, 2013
Report Date
February 1, 2013
Manufacturer
MDT PUERTO RICO OPERATIONS CO
Product Code
LKK
PMA / PMN Number
P860004
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MN, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

PRODUCT ID 8840, SERIAL# UNKNOWN, PRODUCT TYPE PROGRAMMER, PHYSICIAN PRODUCT ID 8709SC, SERIAL# (B)(4), PRODUCT TYPE CATHETER. (B)(4).

Description of Event or Problem · 1

IT WAS REPORTED THAT, ABOUT A WEEK AFTER A PUMP IMPLANT, THE PATIENT'S STARTING DOSE WAS "TOO MUCH" FOR THE PATIENT. THE PATIENT EXPERIENCED A FEELING OF DROWSINESS, AND THEIR PHYSICIAN WAS NOT SURE IF THAT WAS CAUSED BY THE PATIENT'S SLEEP APNEA OR THE DRUG, SO HE ELECTED TO "BACK OFF ON THE DRUG," AND THEY LOWERED THE PUMP TO A MINIMUM RATE. THE OLD DRUG CONCENTRATION OF 20MG/ML DILAUDID WAS GOING TO BE REMOVED AND REPLACED WITH A NEW, LOWER DRUG CONCENTRATION OF DILAUDID; HOWEVER, THE PATIENT'S PHYSICIAN REVIEWED THE BRIDGE BOLUS AND OPTED TO LEAVE THE CURRENT DRUG AND CURRENT CONCENTRATION AS IS. THE PATIENT WAS NOTED TO BE ON A STABLE DOSE AND BE DOING FINE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
87767 SYNCHROMED II PUMP, INFUSION, IMPLANTED, PROGRAMMABLE LKK MDT PUERTO RICO OPERATIONS CO 8637-20

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention