BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SPINAL IMPLANT

    MDR report key: 19314 · Received January 31, 1995

    Report

    Report Number
    MW1004945
    Event Type
    Injury
    Date Received
    January 31, 1995
    Date of Event
    April 23, 1991
    Report Date
    January 10, 1995
    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

    RPTR IS DISABLED AND DRAWING SOCIAL SECURITY, UNABLE TO WORK, HAS BURNING OCCASIONALLY WITH URINATION, CONSTANT RADIANT BACK PAIN, CONSTANT LEG PAIN, NECK ARM AND SHOULDERS PAIN, BLURRED VISION SOMETIMES AND HEADACHES.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 37 YR Disability