BEUDAMED
    FDA Adverse Event Other Summary report: N

    MEDTRONIC NEUROMODULATION IMPLANTED INFUSION PUMP

    MDR report key: 1040332 · Received May 9, 2008

    Report

    Report Number
    MW5006782
    Event Type
    Other
    Date Received
    May 9, 2008
    Date of Event
    May 5, 2008
    Report Date
    May 6, 2008
    Product Code
    LKK
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NJ, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    CLIENT REPORTS INCREASED AND NEW PAIN IN BACK. IMPLANTED PUMP USED FOR BOTH MORPHINE AND BACLOFEN. REPORTS HE FELT "PUMP NOT WORKING", "SOMETHING WAS NOT RIGHT" PAST 1-2 WEEKS. CLIENT FOUND OUT HIS IMPLANTED PUMP ON RECALL LIST. PAIN SPECIALIST INCREASED "BY MOUTH MEDICATION. WAITING TO HEAR FROM DR (PUT PUMP IN) DIAGNOSIS OR REASON FOR USE: PAIN, SPASM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MEDTRONIC NEUROMODULATION IMPLANTED INFUSION PUMP BACLOFEN PUMP LKK 863740AA

    Patients

    Seq Age Sex Outcome Treatment
    1 Other