SynchroMed® II Implantable Drug Pumps

Notice type: Advisory

Date: 27/03/2014


Product name or type:
SynchroMed® II Implantable Drug Pumps


Manufacturer Or Supplier:
Medtronic Limited

Target Audience:
Medical directors 
Pain Consultants 
Spinal Surgeons 
Chronic Pain teams 
Theatre teams 
Risk managers 
Emergency Medicine Departments

Problem Or Issue:
Medtronic has detected an upward shift in reports of occurrence for overinfusion associated with the SynchroMed® II Implantable Pump. Overinfusion can result in a life-threatening overdose and can also result in drug withdrawal due to premature emptying of the pump.

Background Information Or Related Documents:
SynchroMed® II Implantable Drug Pumps Document

Medtronic has recently issued a Field Safety Notice (FSN) related to the SynchroMed II (attached). The FSN advised health care professionals of the upward shift in reports of occurrence for overinfusion. The cause(s) for pump malfunction leading to overinfusion remains under investigation and has not been linked to any specific pump lot, drug used, or geographical area. 

Based on current data from Medtronic’s prospective, long-term multi-center registry study (ISPR), the occurrence rate or overinfusion is less than 0.16%. 

As of November 18, 2013, 76 pumps have been confirmed for overinfusion through returned product analysis since the introduction of the device in 2003, 14 of which related to a life threatening overdose. 

At this time, due to the low reported rate of occurrence of this issue and the inability to predict which pumps may be at risk, Medtronic is not recommending prophylactic replacement of pumps. Medtronic, in collaboration with clinical experts, has developed specific recommendations that are outlined in the attached FSN. 
The information outlined in the FSN should be considered in the management of existing patients and in the selection of devices for new patients. 

The IMB is continuing to monitor the performance of this device with other European Colleagues and the manufacturer (Medtronic) and will provide an updated safety notice as necessary.

Actions To Be Taken:
The IMB recommends that: 

1. Relevant personnel in your organisation are made aware of these potential issues. 

2. The device and patient management advice outlined in the Medtronic Communications is considered and followed as appropriate. 

3. This IMB Safety Notice and the attached FSN are passed on to any organisation or end user where the potentially affected devices have been transferred.

Further Information:
All adverse incidents relating to a medical device should be reported to the: 

Health Products Regulatory Authority
Kevin O’Malley House 
Earlsfort Centre 
Earlsfort Terrace 
Dublin 2 

Telephone: +353-1-6764971 
Fax: +353-1-6344033 

Enquiries to the manufacturer should be addressed to: 

Medtronic Ireland Ltd, 
Unit G 
Swords Business Campus 
Balheary Road 
Co. Dublin 

Telephone: 01 511 1400 
Fax: 01 807 7220 
Contact person: Lezlie Bridge 
Please click here to view a PDF version of this Safety Notice

Please click here to view a copy of the FSN

« Back