BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PAIN CARE 3200

    MDR report key: 1833141 · Received September 9, 2010

    Report

    Report Number
    2028253-2010-00020
    Event Type
    Injury
    Date Received
    September 9, 2010
    Date of Event
    January 10, 2006
    Report Date
    August 26, 2010
    Manufacturer
    BREG, INC
    Product Code
    MEB
    PMA / PMN Number
    K013928
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MN, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PT HAD SURGERY ON L HUMERUS WITH A HUMERUS IMPLANT ON (B)(6)2006. DOCTOR PLACED A BERG 3200 PAIN PUMP CATHETER IN THE GLENOHUMERAL JOINT. PT ALLEGES GLENOHUMERAL CHONDROLYSIS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PAIN CARE 3200 89MRB MEB BREG, INC 3200 UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 54 YR Disability