FDA Adverse Event
Injury
Summary report: N
ONQ PUMP
MDR report key: 10436839
·
Received August 20, 2020
Report
- Report Number
- MW5096184
- Event Type
- Injury
- Date Received
- August 20, 2020
- Date of Event
- August 13, 2020
- Report Date
- August 19, 2020
- Manufacturer
- UNK
- Product Code
- MEB
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Occupation
- PHARMACIST
Narratives
Description of Event or Problem · 1
PATIENT ADMITTED WITH SHORTNESS OF BREATH SINCE NERVE BLOCK (ON-Q) PLACED IN NECK FOR ROTATOR CUFF SURGERY. PATIENT HAD A RIGHT BRACHIAL PLEXUS BLOCK WITH AN ONQ PUMP PLACED AT OUTSIDE FACILITY AND PRESENTED TO INPATIENT HOSPITAL DIAGNOSED WITH RIGHT HEMIDIAPHRAGM PARALYSIS. PUMP WAS DISCONTINUED AND SYMPTOMS RESOLVED. FDA SAFETY REPORT ID# (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 899583 | ONQ PUMP | PUMP, INFUSION, ELASTOMERIC | MEB | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Hospitalization| L| R |