BEUDAMED
    FDA Adverse Event Death Summary report: N

    3ON-Q PAIN MANAGEMENT SYSTEM

    MDR report key: 457690 · Received April 30, 2003

    Report

    Report Number
    2026095-2003-00009
    Event Type
    Death
    Date Received
    April 30, 2003
    Date of Event
    April 24, 2003
    Report Date
    April 29, 2003
    Manufacturer
    I-FLOW CORPORATION
    Product Code
    MEB
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GA, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    PATIENT USING ON-Q EXPIRED. SURGERY WAS 3 DAYS PRIOR TO DEATH FOR TAH DUE TO EARLY CERVICAL CANCER. PATIENT DISCHARGED AND WENT HOME 2 DAYS AFTER SURGERY. PUMP WAS SCHEDULED TO BE REMOVED ON THE DAY THEY DECEASED. FULL AUTOPSY WAS DONE AND IT IS UNKNOWN AT THIS TIME WHAT WAS THE CAUSE OF DEATH.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 3ON-Q PAIN MANAGEMENT SYSTEM INFUSION PUMP MEB I-FLOW CORPORATION PM024 322922

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Death