MEDTRONIC PUERTO RICO OPERATIONS CO. SYNCHROMED II; PUMP, INFUSION, IMPLANTED, PROGRAMMABLE
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Model Number 8637-20 |
Device Problem
Adverse Event Without Identified Device or Use Problem (2993)
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Patient Problem
Granuloma (1876)
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Event Date 02/10/2019 |
Event Type
Injury
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Event Description
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Information was received from a manufacturer representative regarding a patient who was receiving (unknown drug) via an implantable pump for unknown indications for use.It was reported that the catheter had a granuloma at the tip 3 years ago and since then the pump has not been used.It was confirmed the permanent shutdown today was elective as the pump has not been used in the past 3 years and will not be used in the future.
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Manufacturer Narrative
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Concomitant medical products: product id: 8731, serial#: (b)(4), implanted: (b)(6) 2004, product type: catheter.Information references the main component of the system.Other relevant device(s) are: product id: 8731, serial/lot #: (b)(4), ubd: 28-jul-2006, udi#: (b)(4).If information is provided in the future, a supplemental report will be issued.
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Manufacturer Narrative
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Continuation of d10: product id 8731 lot# serial# (b)(6) implanted: (b)(6) 2004 product type catheter.Medtronic is submitting this report to comply with fda reporting regulations under 21 cfr parts 4 and 803.This report is based upon information obtained by medtronic, which the company may not have been able to fully investigate or verify prior to the date the report was required by the fda.Medtronic has made reasonable efforts to obtain more complete information and has provided as much relevant information as is available to the company as of the submission date of this report.This report does not constitute an admission or a conclusion by fda, medtronic, or its employees that the device, medtronic, or its employee caused or contributed to the event described in the report.In particular, this report does not constitute an admission by anyone that the product described in this report has any ¿defects¿ or has ¿malfunctioned¿.These words are included in the fda 3500a form and are fixed items for selection created by the fda to categorize the type of event solely for the purpose of regulatory reporting.Medtronic objects to the use of these words and others like them because of the lack of definition and the connotations implied by these terms.This statement should be included with any information or report disclosed to the public under the freedom of information act.Any required fields that are unpopulated are blank because the information is currently unknown or unavailable.A good faith effort will be made to obtain the applicable information relevant to the report.If information is provided in the future, a supplemental report will be issued.
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Event Description
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Additional information received from the company representative stated the cause of the event was not determined.The pump was shut off per doctor request and the issue was resolved.
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Search Alerts/Recalls
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