FDA Adverse Event Injury Summary report: N

SYNCHROMED II

MDR report key: 3120759 · Received May 20, 2013

Report

Report Number
3004209178-2013-07930
Event Type
Injury
Date Received
May 20, 2013
Report Date
April 22, 2013
Manufacturer
MDT PUERTO RICO OPERATIONS CO
Product Code
LKK
PMA / PMN Number
P860004
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4).

Description of Event or Problem · 1

IT WAS REPORTED THE PATIENT HAD HER DEVICE EXPLANTED AFTER JUST FOUR WEEKS OF RECEIVING IT. REPORTEDLY, THE MEDICINE ¿NEVER¿ HELPED THE PATIENT AND AS A RESULT, SHE HAD TO PUT HERSELF INTO HOSPICE FOR PAIN RELIEF. THE PATIENT STATED THE FIRST WEEK SHE HAD THE PUMP, SHE ¿BLACKED OUT.¿ THE PATIENT WAS REPORTEDLY GIVEN ATIVAN FOR THIS. IT WAS SAID THE PATIENT NEVER HAD THERAPEUTIC EFFECT. THE PATIENT REPORTED ¿EXTREME PAIN¿ FROM THE PUMP ¿BEING INSIDE OF HER.¿ THESE SYMPTOMS BEGAN FOLLOWING THE IMPLANT. THE LOCATION OF THE PAIN WAS DESCRIBED ¿OVER THE ENTIRE SYSTEM¿. THE PATIENT STATED SHE WEIGHED (B)(6) AND THE PUMP WAS ¿KILLING HER.¿ THE PATIENT SAID SHE ALL SHE COULD DO WAS ¿LAY ON THE BED AND CRY,¿ AND THAT SHE ¿CRIED FOR TWO WEEKS STRAIGHT.¿ THE PATIENT STATED THE FRONT OF THE PUMP MADE IT FEEL AS HER RIBS WERE GOING TO BREAK. REPORTEDLY, THE PATIENT WAS UNABLE TO EAT, SLEEP, WALK OR BEND OVER DUE TO THIS PAIN. THE PATIENT STATED THE PUMP WAS ¿ON HER SPINE,¿ AND SHE HAD CANCER IN SPINE, SCOLIOSIS AND ARTHRITIS. DESPITE MEDICATION DOSE INCREASES, HER PAIN CONTROL WAS NOT ANY BETTER. THE PATIENT ELECTED TO HAVE THE DEVICE REMOVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
222651 SYNCHROMED II PUMP, INFUSION, IMPLANTED, PROGRAMMABLE LKK MDT PUERTO RICO OPERATIONS CO 8637-20

Patients

Seq Age Sex Outcome Treatment
1 00059 YR Required Intervention