BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SPINAL IMPLANT

    MDR report key: 18651 · Received December 30, 1994

    Report

    Report Number
    MW1004623
    Event Type
    Injury
    Date Received
    December 30, 1994
    Date of Event
    June 16, 1993
    Report Date
    December 15, 1994
    Manufacturer
    UNKNOWN
    Product Code
    KWQ
    Report Source
    Voluntary report
    Reporter Location
    OK, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    SINCE HAVING SURGERY, RPTR HAS HAD SEVERE PAIN AND IT HURTS TO SIT DOWN OR LIE DOWN. HE NEEDS PAIN PILLS TO SLEEP, CANNOT WORK, LEFT LEG IS NUMB PART OF TIME, HE'S DEPRESSED AND HAS NOT WORKED SINCE OPERATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SPINAL IMPLANT SPINAL IMPLANT KWQ UNKNOWN

    Patients

    Seq Age Sex Outcome Treatment
    1 49 YR Disability