FDA Adverse Event
Injury
Summary report: N
ON-Q-SOAKER 6.5 DUEL SITE PAIN MGM SYSTEM
MDR report key: 333637
·
Received May 14, 2001
Report
- Report Number
- 333637
- Event Type
- Injury
- Date Received
- May 14, 2001
- Date of Event
- March 28, 2001
- Report Date
- May 11, 2001
- Manufacturer
- I-FLOW
- Product Code
- LKK
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- MA, US
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
TWO PROBLEMS WITH ON-Q-SOAKER 6.5 DUEL SITE PAIN MGMT SYSTEM MANUFACTURED BY I-FLOW - SOLD TO RPTR BY ETHICON CO FOR USE IN SURGERY. TWO PTS HAD BUNIONECTOMY PROCEDURES AND BOTH HAD COMPLICATIONS POST SURGERY WITH INFECTIONS. BOTH HAD Q-PUMP IN PLACE POST SURGERY AND BOTH NEEDED EXTENDED CARE (BOTH STILL UNDER MEDICAL FOLLOW-UP). PRODUCT OUT OF SERVICE/USE.
Description of Event or Problem · 2
TWO PROBLEMS WITH ON-Q-SOAKER 6.5 DUEL SITE PAIN MANAGEMENT SYSTEM MANUFACTURED BY I-FLOW SOLD TO REPORTER BY ETHICON CO FOR USE IN SURGERY. TWO PTS HAD BUNIONECTOMY-PROCEDURE AND BOTH HAD COMPLICATIONS POST SURGERY WITH INFECTIONS. BOTH HAD Q-PUMP IN PLACE POST SURGERY AND BOTH NEEDED EXTENDED CARE (BOTH STILL UNDER MEDICAL FOLLOW-UP). PRODUCT OUT OF SERVICE/USE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 22616 | ON-Q-SOAKER 6.5 DUEL SITE PAIN MGM SYSTEM | CATHETER INSERT FOR PAIN MGM CONTINOUSLY | LKK | I-FLOW | * | 0A2825 | |
| 22617 | ON-Q-SOAKER 6.5 DUEL SITE PAIN MGM SYSTEM | CATHETER INSERT FOR PAIN MGM CONTINUOUS | LKK | I-FLOW | * | 072598 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 27 YR | Other| R | 1. CONSULT PHYSICIAN. | |
| 2 | 53 YR | Other| R | CONSULT PHYSICIAN. |