FDA Says Medtronic Pump Recall is Class 1

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FDA says that the Medtronic 9/2016 recall of its SynchroMed implantable infusion pumps due to a software problem that may cause unintended delivery of drugs during a priming bolus procedure is Class 1. An agency notice says the SynchroMed II and SynchroMed EL implantable infusion pumps are programmed to deliver prescribed drugs to a specific site inside a patient’s body. The pumps are used to treat primary or metastatic cancer, chronic pain, and severe spasticity, it says.

During a priming bolus procedure used to quickly deliver a large dose of medication from the device to the patient’s spine, FDA says, patients may receive the drug unintentionally at a high rate of infusion in the cerebrospinal fluid followed by a period of reduced drug delivery after the priming bolus. The agency says this can result in a drug overdose or under-dose, which can lead to serious adverse health consequences, such as respiratory depression, coma, or death.

The notice says that Medtronic sent an urgent medical device correction notice to affected customers 9/2016 with a description of the software change, description of labeling changes, software card recommendations, and new priming bolus recommendations. Company representatives began visiting affected customers 10/3/16 to install updated software application cards.

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