FDA Adverse Event Other Summary report: N

SYNCHROMED EL

MDR report key: 406663 · Received July 22, 2002

Report

Report Number
6000030-2002-00525
Event Type
Other
Date Received
July 22, 2002
Manufacturer
MEDTRONIC INC.
Product Code
LKK
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

HCP REPORTED THE PT WAS DIAGNOSED WITH AN INFECTION OF THE DEVICE POCKET ON 03/2002. THE PT HAD SYMPTOMS OF REDNESS AND PAIN. A CULTURE OF THE DEVICE POCKET WAS POSITIVE FOR MRSA. THE PT WAS TREATED WITH BOTH IV AND ORAL ANTIBIOTICS. THE PUMP WAS NOT REMOVED, IT WAS STOPPED, AND THE PT WAS BEGUN ON ORAL MEDICATION. THE INFECTION RESOLVED AND THERE WAS NO DRUG WITHDRAWAL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SYNCHROMED EL IMPLANTABLE INFUSION PUMP LKK MEDTRONIC INC. 8627L18 NA

Patients

Seq Age Sex Outcome Treatment
1 * Other EXPLANTED: UNK.| CATHETER: MODEL 8703W LOT# L54367 IMPLANTED: 1998,