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Polysite 3017SPIRecalls & reported problems

Perouse Medical · POLYSITE Pressure injectable Implantable Infusion Port with silicone-filled suture holes · Class 2 · Implant

Adverse event reports
8
Deaths reported
0
Injuries reported
6
Recalls naming it
0

Summary

The FDA's MAUDE database contains 8 adverse event reports that list this exact device (DI 03661234017584), received between May 10, 2019 and Jun 4, 2024 — classified as 6 injuries, 2 malfunctions.

The most frequently reported specific device problem is “Expulsion” (4 reports).

Reports come from manufacturers, hospitals and patients and are not verified by the FDA. A report does not prove the device caused the event, and counts can't be used to compare devices or estimate failure rates. How this data works · Data updated Oct 13, 2026.

Reports received per month

Nov 2023: 0 reportsDec 2023: 0 reportsJan 2024: 0 reportsFeb 2024: 2 reportsMar 2024: 0 reportsApr 2024: 0 reportsMay 2024: 0 reportsJun 2024: 2 reportsJul 2024: 0 reportsAug 2024: 0 reportsSep 2024: 0 reportsOct 2024: 0 reportsNov 2024: 0 reportsDec 2024: 0 reportsJan 2025: 0 reportsFeb 2025: 0 reportsMar 2025: 0 reportsApr 2025: 0 reportsMay 2025: 0 reportsJun 2025: 0 reportsJul 2025: 0 reportsAug 2025: 0 reportsSep 2025: 0 reportsOct 2025: 0 reportsNov 2025: 0 reportsDec 2025: 0 reportsJan 2026: 0 reportsFeb 2026: 0 reportsMar 2026: 0 reportsApr 2026: 0 reportsMay 2026: 0 reportsJun 2026: 0 reportsJul 2026: 0 reportsAug 2026: 0 reportsSep 2026: 0 reportsOct 2026: 0 reports2024202520262
Last 36 months. The most recent month may be incomplete.

Most reported problems

Device problems

  • Expulsion4
  • Disconnection2
  • Insufficient Device Problem Information2
  • Migration or Expulsion of Device2
  • Break1
  • Material Separation1
  • Separation Problem1

Patient problems

  • Insufficient Information5
  • No Consequences Or Impact To Patient2
  • Foreign Body In Patient1
  • Unspecified Infection1

Recent adverse event reports

The 8 most recent of 8 reports, in the reporter's own words as published by the FDA.

  • InjuryJun 4, 2024Migration or Expulsion of Device; Expulsion; Migration or Expulsion of Device; Expulsion

    PORT ERODING THROUGH THE SKIN. PORT WAS REMOVED.

    Patient problems: Insufficient Information

    MAUDE report 19462175 ↗
  • InjuryJun 4, 2024Migration or Expulsion of Device; Expulsion; Migration or Expulsion of Device; Expulsion

    PORT ERODING THROUGH THE SKIN. PORT WAS REMOVED.

    Patient problems: Insufficient Information

    MAUDE report 19462174 ↗
  • InjuryFeb 9, 2024Break; Material Separation; Expulsion; Break; Material Separation; Expulsion

    PORT SITE IS OPEN/INFECTED. PORT WAS REMOVED.

    Patient problems: Insufficient Information; Unspecified Infection

    MAUDE report 18677134 ↗
  • MalfunctionFeb 6, 2024Expulsion; Separation Problem; Expulsion; Separation Problem

    PORT INSERTION SITE OPENED UP. REQUIRED PORT REMOVAL.

    Patient problems: Insufficient Information

    MAUDE report 18650587 ↗
  • MalfunctionAug 11, 2023Disconnection; Disconnection

    PT ARRIVED FOR PORT STUDY POST-INFUSION ATTEMPT MALFUNCTION PORT NOTICED ON SCOUT IMAGE. PORT DISCONNECTED FROM CATHETER.

    Patient problems: Foreign Body In Patient

    MAUDE report 17508373 ↗
  • InjuryOct 6, 2022Disconnection; Disconnection

    PORT 3017SPI PLACED ON (B)(6) 2022. ON (B)(6) 2022, FACILITY WAS UNABLE TO DO A BLOOD DRAW. UNDER SCAN, FACILITY NOTICED THAT THE CATHETER HAD "DETACHED" FROM THE PORT. DOCTOR USED A SNARE TO RETRIEVE THE CATHETER AND REMOVED THE PORT. UNDER EVALUATION, IT WAS STATED THE CATHETER DID NOT LOOK PUNCTURED, AND RATHER THAT IT JUST DETACHED. PATIENT IS GOING TO RECEIVE A PICC LINE INSTED OF A PORT GOING FORWARD.

    Patient problems: Insufficient Information

    MAUDE report 15548088 ↗
  • InjuryNov 5, 2019Insufficient Device Problem Information; Insufficient Device Problem Information

    ACCORDING TO THE TELEFLEX NOTIFICATION SUMMARY REFERENCE (B)(4) RECEIVED ON OCTOBER 8TH 2019: "THE CATHETER DISLODGED FROM THE PORT INSIDE THE PATIENT. THEY HAD TO USE A SNARE TO REMOVE THE CATHETER ENDOVASCULARLY AND THEY REVISED THE PORT ANOTHER DAY ." THIS INCIDENT TOOK PLACE IN (B)(6).

    Patient problems: No Consequences Or Impact To Patient

    MAUDE report 9282069 ↗
  • InjuryMay 10, 2019Insufficient Device Problem Information; Insufficient Device Problem Information

    ACCORDING TO THE MEDWATCH (MW5081802): "UPON REMOVAL OF MEDIPORT IT WAS NOTED THAT THE CONNECTOR WAS NOT ATTACHED TO THE PORT ITSELF. FLUOROSCOPY WAS USED TO DETERMINE WHERE OR IF CONNECTOR WAS STILL IN THE PATIENT. BLUNT DISSECTION WAS UTILIZED TO RETRIEVE CONNECTOR WITH HEMOSTATS. NO DANGER TO PATIENT WAS NOTED AND NO POST PROCEDURE COMPLICATION WAS NOTED". THIS INFORMATION HAS BEEN RECEIVED FROM THE DISTRIBUTOR (B)(4) ON 02 JAN 2019 AT PEROUSE MEDICAL

    Patient problems: No Consequences Or Impact To Patient

    MAUDE report 8600372 ↗

Other PORT & CATHETER, IMPLANTED, SUBCUTANEOUS, INTRAVASCULAR devices

All PORT & CATHETER, IMPLANTED, SUBCUTANEOUS, INTRAVASCULAR devices →

Sources: FDA GUDID, MAUDE and Medical Device Recalls via openFDA. openFDA data is not validated for clinical or regulatory use.