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Polysite 4018PIRecalls & reported problems

Perouse Medical · POLYSITE Pressure injectable Implantable Infusion Port · Class 2 · Implant

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

Adverse event reports
2
Deaths reported
0
Injuries reported
2
Recalls naming it
0

Summary

The FDA's MAUDE database contains 2 adverse event reports that list this exact device (DI 03661234017638), received between Oct 6, 2022 and Dec 1, 2023 — classified as 2 injuries.

The most frequently reported specific device problem is “Disconnection” (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.

Reports received per month

Nov 2023: 0 reportsDec 2023: 1 reportsJan 2024: 0 reportsFeb 2024: 0 reportsMar 2024: 0 reportsApr 2024: 0 reportsMay 2024: 0 reportsJun 2024: 0 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 reports2024202520261
Last 36 months. The most recent month may be incomplete.

Most reported problems

Device problems

  • Disconnection1
  • Fluid/Blood Leak1

Patient problems

  • Insufficient Information2

Recent adverse event reports

The 2 most recent of 2 reports, in the reporter's own words as published by the FDA.

  • InjuryDec 1, 2023Disconnection; Disconnection

    PORT TUBING BECAME DISLODGED AND MIGRATED DOWN TO PATIENT'S HEART.

    Patient problems: Insufficient Information

    MAUDE report 18246344 ↗
  • InjuryOct 6, 2022Fluid/Blood Leak; Fluid/Blood Leak

    HEALTHCARE PROFESSIONAL CALLED IN AND STATED THEY HAD PLACED A PORT FOR A CANCER PATIENT, AND NOTICED AFTER A YEAR THAT THERE IS SOME LEAKING. THEY REMOVED THE PORT AND REPLACED IT. THE PATIENT CONDITION WAS REPORTED AS FINE POST-PROCEDURE

    Patient problems: Insufficient Information

    MAUDE report 15548087 ↗

Other PORT & CATHETER, IMPLANTED, SUBCUTANEOUS, INTRAVASCULAR devices

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Sources and updates

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