FDA Adverse Event Injury Summary report: N

SYNCHROMED II

MDR report key: 3034061 · Received April 3, 2013

Report

Report Number
3004209178-2013-04593
Event Type
Injury
Date Received
April 3, 2013
Report Date
March 7, 2013
Manufacturer
MDT PUERTO RICO OPERATIONS CO
Product Code
LKK
PMA / PMN Number
P860004
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IN, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

PRODUCT ID: 8835, SERIAL# (B)(4), PRODUCT TYPE: PROGRAMMER. PRODUCT ID: 8780, SERIAL# (B)(4), IMPLANTED: (B)(6) 2012, PRODUCT TYPE: CATHETER. (B)(4).

Additional Manufacturer Narrative · 1

PRODUCT ID: 8835, SERIAL# (B)(4), PRODUCT TYPE: PROGRAMMER. PRODUCT ID: 8780, SERIAL# (B)(4), IMPLANTED: (B)(6) 2012, PRODUCT TYPE: CATHETER. (B)(4).

Description of Event or Problem · 1

IT WAS REPORTED THAT THERE WAS AN INFECTION OF THE INCISION ABOUT A MONTH AND A HALF AFTER SURGERY. THE INFECTION WAS ALSO IN THE PATIENT'S LEGS AND FEET WHERE IT WAS ACCOMPANIED BY SEVERE SWELLING, NOTABLY WORSE IN THE FEET. THE PATIENT WAS PUT ON ANTIBIOTICS INCLUDING VIOMYCIN AND THE PUMP WAS EXPLANTED. IT WAS STATED THAT THE THERAPY HAD BEEN WORKING FOR THE PATIENT, SO THE EXPLANT HAD BEEN DELAYED TO TRY AND SAVE THE PUMP. THE DRUG USED IN THIS SYSTEM WAS UNKNOWN.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE DOCTOR THAT PERFORMED THE PUMP TRIAL WAS DIFFERENT THAN THE DOCTOR THAT IMPLANTED THE PUMP AND TREATED THE PATIENT. IT WAS REPORTED THAT NO PREOPERATIVE ANTIBIOTICS WERE ADMINISTERED. THE PUMP WAS REFILLED ON (B)(6) 2013. THERE WAS NO MENINGITIS REPORTED. THE PUMP WAS INFUSING MORPHINE SULFATE PRESERVATIVE FREE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
136535 SYNCHROMED II PUMP, INFUSION, IMPLANTED, PROGRAMMABLE LKK MDT PUERTO RICO OPERATIONS CO 8637-40

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention