BEUDAMED
    FDA Adverse Event Other Summary report: N

    ON Q PAIN BUSTER

    MDR report key: 1432313 · Received July 31, 2009

    Report

    Report Number
    MW5012244
    Event Type
    Other
    Date Received
    July 31, 2009
    Date of Event
    July 21, 2009
    Report Date
    July 31, 2009
    Manufacturer
    I-FLOW
    Product Code
    MEB
    Report Source
    Voluntary report
    Reporter Location
    KY, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    ONQ PAINBUSTER IN USE AND UPON REMOVAL, THE TIP APPEARS TO BE FRAYED, POSSIBILITY THAT TUBING FRAGMENT IS UNACCOUNTED FOR. DATES OF USE: 2009. DIAGNOSIS OR REASON FOR USE: POST OPERATIVE PAIN CONTROL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ON Q PAIN BUSTER ON Q MEB I-FLOW PM025-A 932128

    Patients

    Seq Age Sex Outcome Treatment
    1 76 YR