FDA Adverse Event Injury Summary report: N

ON-Q PAIN PUMP

MDR report key: 4109590 · Received September 16, 2014

Report

Report Number
2026095-2014-00175
Event Type
Injury
Date Received
September 16, 2014
Date of Event
June 1, 2005
Report Date
August 19, 2014
Manufacturer
I-FLOW CORP.
Product Code
MEB
PMA / PMN Number
K063530
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
VI, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

METHOD: THE PRODUCT WAS NOT RETURNED FOR AN EVALUATION AND INVESTIGATION. THE LOT NUMBER WAS NOT PROVIDED; THEREFORE, THE DEVICE HISTORY RECORDS COULD NOT BE REVIEWED. RESULTS: THE INFORMATION CONTAINED IS FROM LEGAL DOCUMENTS SERVED ON I-FLOW, LLC. THE COMPLAINT WAS OPENED SO THAT A MEDICAL DEVICE REPORT (MDR) CAN BE FILED WITH US FOOD AND DRUG ADMINISTRATION. NO FURTHER INVESTIGATION WILL BE CONDUCTED. CONCLUSIONS: AS THIS COMPLAINT WAS CREATED FROM A LAWSUIT RECEIVED BY I-FLOW, LLC OR THE THREAT OF A LAWSUIT, NO CUSTOMER CONTACT CAN BE MADE AT THIS TIME DUE TO THE PENDING OR THREATENED LITIGATION. AS OF (B)(4) 2006, I-FLOW UPDATED THE ON-Q PUMP DIRECTIONS FOR USE (DFU), TO INCLUDE THE FOLLOWING IN THE WARNINGS SECTION: "AVOID PLACING THE CATHETER IN JOINT SPACES. ALTHOUGH THERE IS NO DEFINITIVE ESTABLISHED CAUSAL RELATIONSHIP, SOME LITERATURE HAS SHOWN A POSSIBLE ASSOCIATION BETWEEN CONTINUOUS INTRA-ARTICULAR INFUSIONS (PARTICULARLY WITH BUPIVACAINE) AND THE SUBSEQUENT DEVELOPMENT OF CHONDROLYSIS". ON (B)(4) 2007, I-FLOW HAS ALSO PREPARED A TECHNICAL BULLETIN ENTITLED: "WHAT WE KNOW ABOUT CHONDROLYSIS TODAY". (1303722,REV. E). INFORMATION FROM THIS INCIDENT WILL BE INCLUDED IN OUR PRODUCT COMPLAINT AND MDR TREND REPORTING SYSTEM.

Description of Event or Problem · 1

FILL VOLUME: NOT PROVIDED. FLOW RATE: NOT PROVIDED. PROCEDURE: UNKNOWN, NP. CATHPLACE: INTRA-ARTICULAR PLACEMENT. PATIENT ALLEGES CHONDROLYSIS FOLLOWING THE PLACEMENT OF A PAIN PUMP FOLLOWING SURGERIES ON OR ABOUT (B)(6) 2005. "NP: NOT PROVIDED".

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
571743 ON-Q PAIN PUMP MEB I-FLOW CORP. UNK UNK

Patients

Seq Age Sex Outcome Treatment
1 NP Other DRUG: UNKNOWN, NP