Dr. JEFFREY BRINK, MD Medical Malpractice Cases, Lawsuits, and Complaints

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Phycicians Practice Address

Dr. JEFFREY BRINK, MD

3316 S. THIRD STREET

JACKSONVILLE BEACH, FL

32250

Duval

Court Case # CA005079

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M200433423
Claim Number :	19736-01
Date Submitted :	5/22/2007

Insurer Information

Insurer Name				Coverage Type
AMERICAN PHYSICIANS ASSURANCE CORPORATION				Primary
Insurer FEIN		Professional License Number
38-2102867
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Christine			Sampson
Street Address
200 East Gaines Street
City				State	Zip
Tallahassee				FL	32399
Phone	Ext	Fax	E-Mail Address
(850) 413 - 5358		(850) 921 - 8243	Christine.Sampson@fldfs.com

Insured Information

Type	First Name		MI	Last Name
Individual	JEFFREY			BRINK
Insurer Type		Street Address of Practice
Licensed		3316 S. THIRD STREET
City		State	Zip Code	County
JACKSONVILLE BEACH		FL	32250	Duval
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
128530		$500,000		$1,500,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME72544		Surgery - Otorhinolaryngology		N/A

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Duval
City			State	Zip Code

Location where injury occured		Other location where injury occured
Physician's Office
Name of Institution		Code

Location of Institutional Injury		Other Location of Institutional Injury

Date of Occurrence		Date Reported to Insurer
4/3/2000		3/17/2003

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
CLAIMANT PRESENTED TO INSURED WITH TRISMUS FOLLOWING JAW SURGERY FOR CANCER.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
INSURED PERFORMED A CORONOIDECTOMY TO RELEASE THE JAW MUSCLE.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
N/A
Principal Injury Giving Rise To The Claim
PARTIAL APHAYSIA AND HAS UNSIGHTLY DROOLING
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
7/21/2003			CA005079
County Suit Filed in			Date of Final Disposition
Duval			11/15/2004
Other Defendants Involved in this Claim

Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision			Other
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
11/10/2004

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$500,000

Loss Adjust Expense Paid to Defense Counsel

All Other Loss Adjustment Expense Paid

Injured Person's Total Non-Economic Loss

$500,000

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$0	$0
Wage Loss	$0	$0
Other Expenses	$0	$0

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

INSURED CONSULTED WITH DEFENSE COUNSEL AND CLAIMS PERSONNEL REGARDING THIS MATTER.

Updates

Date of Change:

5/22/2007 11:22:53 AM

Reason for Change:

OIR updating Historical Closed Claim data.

Field Changed	Former Value	New Value
Injured Person Age	64	63
Insured Address City	JACKSONVILLE	JACKSONVILLE BEACH
Portal User Name	steffanie simon	Christine Sampson
Injured Person Address City	JACKSONVILLE BCH	JACKSONVILLE BEACH

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Court Case # 2017-CA-006346

Indemnity Paid: $245,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Department File Number :	M201885838
Claim Number :	F16-0146-A-15
Date Submitted :	7/10/2018

Insurer Information

Insurer Name				Coverage Type
FD INSURANCE COMPANY				Primary
Insurer FEIN		Professional License Number
20-3704679
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Steven		R	Carey
Street Address
4651 Salisbury Rd. Suite 410
City				State	Zip
Jacksonville				FL	32256
Phone	Ext	Fax	E-Mail Address
(904) 309 - 8127		(904) 309 - 8127	scarey@norcal-group.com

Insured Information

Type	First Name		MI	Last Name
Individual	Jeffrey			Brink
Insurer Type		Street Address of Practice
Licensed		3200 3rd Street South, Suite 101
City		State	Zip Code	County
Jacksonville Beach		FL	32256	Duval
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
10250		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME72544		Surgery - Otorhinolaryngology

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Duval
City			State	Zip Code

Location where injury occured		Other location where injury occured
Hospital Outpatient Facility
Name of Institution		Code
BAPTIST MEDICAL CENTER - BEACHES		100117
Location of Institutional Injury		Other Location of Institutional Injury
Operating Suite
Date of Occurrence		Date Reported to Insurer
10/23/2015		5/31/2016

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient presented with complaints of throat pain, enlarged lymph nodes behind left ear, blurred vision, and night sweats.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Excisional biopsy lymph node biopsy.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Alleging the spinal accessory nerve was transected.
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
10/19/2017			2017-CA-006346
County Suit Filed in			Date of Final Disposition
Duval			7/10/2018
Other Defendants Involved in this Claim

Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision			Other
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
6/14/2018

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$245,000

Loss Adjust Expense Paid to Defense Counsel

$17,140

All Other Loss Adjustment Expense Paid

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$0	$0
Wage Loss	$0	$0
Other Expenses	$0	$0

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

Circumstances of the case have been discussed with the insured and Risk Management.

Updates

No updates found.

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Court Case # 16-2006-CA-660

Indemnity Paid: $150,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M200642392
Claim Number :	9908
Date Submitted :	9/27/2006

Insurer Information

Insurer Name				Coverage Type
PHYSICIANS PREFERRED INSURANCE COMPANY				Primary
Insurer FEIN		Professional License Number
27-0087259
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Daniel		J	Dupre
Street Address
9310 Old Kings Rd. SouthSuite 702
City				State	Zip
Jacksonville				FL	32257
Phone	Ext	Fax	E-Mail Address
(904) 332 - 7841		(904) 332 - 7842	ddupre@physicianspreferred.com

Insured Information

Type	First Name		MI	Last Name
Individual	Jeffrey		E	Brink
Insurer Type		Street Address of Practice
Licensed		3316 3RD ST S STE 102
City		State	Zip Code	County
JACKSONVILLE BEACH		FL	32250	Duval
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
10250		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME72544		Surgery - Otorhinolaryngology

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Duval
City			State	Zip Code

Location where injury occured		Other location where injury occured
Other Location		Jacksonville Beach Surgery Center
Name of Institution		Code

Location of Institutional Injury		Other Location of Institutional Injury
Operating Suite
Date of Occurrence		Date Reported to Insurer
11/15/2002		5/23/2005

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Allergic rhinitis, Deviated septum
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Septoplasty
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Patient alleged insured failed to successfully repait the septum.
Principal Injury Giving Rise To The Claim
Alleged permanent pereforation of the nasal septum
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
1/20/2006			16-2006-CA-660
County Suit Filed in			Date of Final Disposition
Duval			9/15/2006
Other Defendants Involved in this Claim

Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision			Other
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
9/15/2006

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$150,000

Loss Adjust Expense Paid to Defense Counsel

$18,000

All Other Loss Adjustment Expense Paid

$5,000

Injured Person's Total Non-Economic Loss

$125,000

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$20,000	$0
Wage Loss	$0	$0
Other Expenses	$5,000	$0

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

The claim was settled on a compromises basis. The insured's care was supported by excellent medical expert testimony. The patient had poor nasal tissue which led to a suboptimal result.

Updates

No updates found.

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Frequently Asked Questions

Does Dr. JEFFREY BRINK, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. JEFFREY BRINK, MD has at least 3 medical malpractice case(s), lawsuit(s), or complaint(s).

Medical Malpractice Cases