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Polysite 4018SPIRecalls & reported problems

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

Data updated Oct 13, 2026 from official FDA records · Editorial policy

Adverse event reports
1
Deaths reported
0
Injuries reported
1
Recalls naming it
0

Summary

The FDA's MAUDE database contains 1 adverse event report that list this exact device (DI 03661234017621), received between Oct 10, 2019 and Oct 10, 2019 — classified as 1 injury.

The most frequently reported specific device problem is “Insufficient Device Problem Information” (1 report).

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.

Most reported problems

Device problems

  • Insufficient Device Problem Information1

Patient problems

  • No Consequences Or Impact To Patient1

Recent adverse event reports

The 1 most recent of 1 reports, in the reporter's own words as published by the FDA.

  • InjuryOct 10, 2019Insufficient Device Problem Information; Insufficient Device Problem Information

    ACCORDING TO THE MEDWATCH MW5089175 RECEIVED ON SEPTEMBER 10TH 2019: "IMPLANTABLE INFUSION PORT PLACED IN (B)(6) 2019; PLACEMENT WAS CONFIRMED BY IMAGING AND PATENCY ESTABLISH. AN ATTEMPT TO ACCESS THE PORT AT AN OUTSIDE FACILITY WAS REPORTED TO BE UNSUCCESSFUL; IMAGES SHOWED THE CATHETER AND PORT WERE SEPARATED. THE DEVICE WAS REMOVED AND REPLACED ON (B)(6) 2019."

    Patient problems: No Consequences Or Impact To Patient

    MAUDE report 9176841 ↗

Other PORT & CATHETER, IMPLANTED, SUBCUTANEOUS, INTRAVASCULAR devices

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Sources and updates

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