BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SPINAL IMPLANT

    MDR report key: 18910 · Received January 10, 1995

    Report

    Report Number
    MW1004722
    Event Type
    Injury
    Date Received
    January 10, 1995
    Date of Event
    November 27, 1992
    Report Date
    December 9, 1994
    Manufacturer
    UNKNOWN
    Product Code
    MCV
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    OK, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    IN 9/92, RPTR BEGAN NOTICING PAIN GOING DOWN LEG AND IN LOWER BACK. HE WAS BEDRIDDEN UNTIL 10/92 WHEN HE HAD METAL ROD AND SCREWS IMPLANTED IN HIS SPINE. RPTR IS NOW ABLE TO GET AROUND AND WALK BUT THERE SEEMS TO BE QUITE A FEW DAYS THAT MAKE IT VERY DIFFICULT TO MOVE AROUND WITHOUT PAIN AND ACHING. RPTR THINKS THE WEATHER HAS A LOT TO DO WITH IT. RAIN, COLD, DAMP WEATHER SEEMS TO BOTHER HIM THE MOST.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 40 YR Hospitalization| S