FDA Adverse Event Injury Summary report: N

PUMP, INFUSION, IMPLANTED, PROGRAMMABLE

MDR report key: 3202898 · Received July 2, 2013

Report

Report Number
3007566237-2013-01086
Event Type
Injury
Date Received
July 2, 2013
Report Date
March 27, 2013
Manufacturer
MEDTRONIC NEUROMODULATION
Product Code
LKK
PMA / PMN Number
P860004
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4).

Description of Event or Problem · 1

IT WAS REPORTED BY A PATIENT THAT THEIR HCP ¿WOULD NEVER PROGRAM A PUMP FOR FLEX BOLUS BECAUSE HE HAS HEARD OR HAD FIRSTHAND EXPERIENCE WITH PEOPLE OVERDOSING, MAYBE BECAUSE OF TAKING ADDITIONAL BREAKTHROUGH MEDS ALONG WITH THE BOLUS¿. NO FURTHER INFORMATION WAS AVAILABLE AT THE TIME OF THIS REPORT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
301385 PUMP, INFUSION, IMPLANTED, PROGRAMMABLE LKK MEDTRONIC NEUROMODULATION NEU_UNKNOWN_PUMP

Patients

Seq Age Sex Outcome Treatment
1 Other