FDA Adverse Event Injury Summary report: N

SYNCHROMED II

MDR report key: 3050372 · Received April 10, 2013

Report

Report Number
3004209178-2013-05861
Event Type
Injury
Date Received
April 10, 2013
Report Date
March 13, 2013
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
TX, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

CONCOMITANT MEDICAL PRODUCTS: PRODUCT ID 8578, SERIAL# (B)(4), IMPLANTED: (B)(6) 2011, EXPLANTED: (B)(6) 2013. PRODUCT TYPE: ACCESSORY: PRODUCT ID 8709, SERIAL# (B)(4), IMPLANTED: (B)(6) 2004, EXPLANTED: (B)(6) 2013. PRODUCT TYPE: CATHETER. (B)(4).

Additional Manufacturer Narrative · 1

ANALYSIS OF THE PUMP KIT REVEALED THAT THE SC CONNECTOR HAD CORING TEARS-CUTS IN SEAL. MEETS LEAK CRITERIA PER (B)(4). ANALYSIS FOR THE PUMP REVEALED NO ANOMALY. ANALYSIS OF THE CATHETER FOUND A HOLE NEAR THE END OF THE DISTAL SEGMENT. THE CHARACTERISTICS OF THE HOLE ARE VERY TYPICAL OF A SHEAR HOLE CAUSED BY AN INTERACTION OF THE CATHETER WITH ITS GUIDEWIRE DURING THE IMPLANT PROCEDURE.

Additional Manufacturer Narrative · 1

IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE HCP BELIEVED THAT THERE MIGHT BE SOMETHING WRONG WITH THE PUMP BECAUSE IT WAS NOT PROVIDING THERAPY. IT TURNED OUT TO BE A CATHETER BREAK AT THE DISTAL SEGMENT OF THE CATHETER. THE TOTAL SYSTEM WAS REPLACED. THE PATIENT HAD EXPERIENCED PAIN. PATIENT STATUS WAS REPORTED AS ALIVE - NO INJURY/NO ADVERSE EVENT. THE PUMP WAS USED TO DELIVER INFUMORPH. (B)(6) 2013 (RP) PRODUCT RETURN WITH NO INFORMATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
152624 SYNCHROMED II PUMP, INFUSION, IMPLANTED, PROGRAMMABLE LKK MDT PUERTO RICO OPERATIONS CO 8637-20

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention