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Surgeons have been using continuous infusion pumps to control pain after patients have had arthroscopic shoulder surgery. Some pain pumps contain a balloon filled with an anesthetic that over time deflates as it infuses the medication into the joint. Such pumps are called elastomeric devices. Other pumps work electronically or mechanically.
A major advantage of infusion pumps is that they deliver anesthesia to the site of the pain and avoid the need for controlling pain with addictive narcotics. But, significant problems with this method have occurred.
Doctors and many patients have discovered that a major side effect of the shoulder pain pump system is causing destruction and death of shoulder cartilage. Loss of cartilage causes a painful, debilitating condition that can lead to life-long disability of the shoulder.
Although infusion pumps have been used for a long time to deliver medication to specific sites in the body, such pain pumps have never received FDA approval for delivering anesthetics continuously and directly into the shoulder joint.
In February 2010 the FDA issued a notice warning health care providers and patients about the dangers of using pumps for treating shoulder pain following arthroscopic surgery. The disabling shoulder condition resulting from this use of the pumps is called postarthroscopic glenohumeral (shoulder joint) chondrolysis (cartilage destruction), or PAGCL.
Doctors who have used these pumps or manufacturers who have previously recommended they be used for continuously infusing anesthetics into the shoulder joint are doing so "off-label," meaning without FDA approval.
Other pain pump manufacturers are DJO, Inc; DePuy, Inc.; Smith & Nephew and Breg, Inc.
In general, these pumps infuse pain medication into the shoulder joint for a period of 48 to 72 hours. It seems that when the cartilage cushioning the shoulder bones is exposed continuously to the anesthetic for this length of time, it begins to break down and die. This puts patients at risk of developing lifelong disability. These PAGCL patients may need further arthroscopic shoulder surgery or even shoulder replacement.
If you’ve suffered PAGCL following shoulder surgery and treatment via a pain pump, you be entitled to compensation. Find out how by contacting our shoulder pain pump attorneys today.
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