BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SPINAL IMPLANT

    MDR report key: 18691 · Received January 3, 1995

    Report

    Report Number
    MW1004644
    Event Type
    Injury
    Date Received
    January 3, 1995
    Date of Event
    June 10, 1991
    Report Date
    November 30, 1994
    Manufacturer
    UNKNOWN
    Product Code
    KWQ
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    OK, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    DR ADVISED REMOVAL OF IMPLANT BECAUSE THE SEVERE PAIN WAS THOUGHT TO BE DUE TO THE IMPLANT.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 * Disability