BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ON Q PAINBUSTER

    MDR report key: 2213789 · Received April 9, 2008

    Report

    Report Number
    MW5021737
    Event Type
    Malfunction
    Date Received
    April 9, 2008
    Date of Event
    March 19, 2008
    Report Date
    March 25, 2008
    Manufacturer
    I-FLOW CORP
    Product Code
    MEB
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    KY, US
    Reporter Occupation
    ATTORNEY

    Narratives

    Description of Event or Problem · 1

    PT HAD PAIN. PUMP CATHETER PLACED DURING PRIOR SURGERY. WHEN REMOVED THE CATHETER, BROKE OFF IN THE INCISION. POSSIBLY NICKED BY SUTURE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ON Q PAINBUSTER NONE MEB I-FLOW CORP

    Patients

    Seq Age Sex Outcome Treatment
    1 46 YR