Beasley, Allen, Crow, Methvin, Portis & Miles, P.C.

Patients who used pain pump devices to relieve pain from shoulder surgery are at risk for permanent joint damage, according to recent studies. Pain pumps are balloon-like devices that are filled with anesthetics that deliver medication directly into the surgical space via a catheter. The medication is slowly released into the joint space for up to 72 hours following surgery and then the catheter is removed by the patient.

While this use of pain pumps was a convenient way to relieve pain from surgery, it also resulted in a surprisingly high number of cases of a painful and debilitating deterioration of cartilage in the shoulder joint known as chondrolysis, specifically Postarthroscopic Glenhumeral Chondrolysis (PAGCL). The condition is permanent and many who suffer from it require shoulder replacement surgery.

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A growing number of young patients have been developing arthritis in their shoulders after routine outpatient arthroscopic surgery, causing surgeons to question what could be causing the debilitating condition in otherwise healthy individuals.

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Nine people in Arizona who claim they were permanently injured by a medical device designed to deliver pain medication to the shoulder joint, are suing the makers of the device for more than $68 million, according to the Phoenix Business Journal.

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The On-Q PainBuster pain pump manufactured and marketed by I-Flow Corporation, is now being used by obstetricians and gynecologists to ease a woman’s pain caused from the incision made for Caesarean section deliveries and hysterectomies, according to the Fort Wayne, Indiana News-Sentinel.

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A lawsuit filed filed against AstraZeneca Pharmaceuticals and Stryker Corp. claims the companies distributed defective pain pumps even after learning the pumps had destroyed shoulder cartilage and the FDA had repeatedly rejected the products, according to Courthouse News Service. The lawsuit also names Hospira Inc. and Abbott Labs, saying the two companies encouraged the pain pump manufacturers to use their anesthetic drugs in conjunction with the pumps even though the medications had not been properly tested.

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Health Canada has issued a statement encouraging health care professionals to follow instructions for use and refrain from using postoperative pain pumps for continuous intra-auricular infusion of local anesthetics – especially with epinephrine – after shoulder surgery.

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Dr. Charles Beck, a well-respected orthopedic surgeon, recently issued a warning that a commonly used device designed to reduce pain after surgery is potentially dangerous when used in the shoulder joint space. The devices, manufactured by Stryker Corporation, I-Flow Inc. and other companies, deliver high concentrations of pain medication directly to a surgical site. According to the recently published article co-authored by Dr. Beck, they can cause permanent and debilitating damage to the shoulder. In discussing the matter, Dr. Beck stated:

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