FDA Adverse Event Other Summary report: N

ON-Q PAINBUSTER

MDR report key: 1001451 · Received February 12, 2008

Report

Report Number
2026095-2008-00012
Event Type
Other
Date Received
February 12, 2008
Date of Event
December 26, 2007
Report Date
January 11, 2008
Manufacturer
I-FLOW CORP.
Product Code
MEB
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

EVALUATION SUMMARY: THE DEVICE INVOLVED IN THIS COMPLAINT HAS BEEN RECEIVED AND IS BEING EVALUATED AND INVESTIGATED. THE TESTING HAS NOT BEEN COMPLETED BY TIME OF FILING OF THIS MDR. THE INFORMATION CONTAINED HEREIN IS BASED ON THE INFORMATION PROVIDED BY THE INITIAL REPORTER. IT WAS REPORTED THAT THE PUMP FLOWED TOO FAST, COMPLETING INFUSION 4 DAYS EARLY. IF ADDITIONAL INFORMATION IS RECEIVED PERTINENT TO THIS INCIDENT, A FOLLOW-UP REPORT WILL BE SUBMITTED.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE PUMP EMPTIED 4 DAYS BEFORE THE END OF INFUSION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ON-Q PAINBUSTER INFUSION PUMP MEB I-FLOW CORP. LT 100-200 682067

Patients

Seq Age Sex Outcome Treatment
1 Other