FDA Adverse Event Injury Summary report: N

ON-Q

MDR report key: 2493845 · Received March 4, 2012

Report

Report Number
MW5024656
Event Type
Injury
Date Received
March 4, 2012
Date of Event
July 15, 2003
Report Date
March 4, 2012
Manufacturer
I-FLOW CORPORATION
Product Code
MEB
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
LA, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

PT COMPLAINS HE HAS HAD MORE THAN 10 SURGERIES ON HIS RIGHT SHOULDER. THE FIRST AND SECOND SURGERIES HE USED ON-Q WHICH CAUSED HIS CHONDROLYSIS. THIS CAUSED HIM TO HAVE A RIGHT SHOULDER REPLACEMENT SURGERY. THIS HAS BROUGHT HIM SO MUCH PAIN, STRESS AND SUFFERING

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ON-Q ON-Q PAIN MANAGEMENT SYSTEM MEB I-FLOW CORPORATION

Patients

Seq Age Sex Outcome Treatment
1 44 YR