FDA Adverse Event
Other
Summary report: N
ON Q PUMP
MDR report key: 565057
·
Received December 22, 2004
Report
- Report Number
- MW1034039
- Event Type
- Other
- Date Received
- December 22, 2004
- Date of Event
- December 14, 2004
- Report Date
- December 17, 2004
- Manufacturer
- I-FLOW CORP.
- Product Code
- MEB
- Report Source
- Voluntary report
- Reporter Location
- MN, US
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
NURSE REMOVED THE ON-Q TUBING FROM ITS PACKAGE - UNCOILED THE TUBING AND NOTICED THE END WAS BENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | ON Q PUMP | ON Q PUMP | MEB | I-FLOW CORP. | * | 12804-12 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 25 YR | Other |