BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SPINAL IMPLANT

    MDR report key: 19997 · Received February 27, 1995

    Report

    Report Number
    MW1005247
    Event Type
    Injury
    Date Received
    February 27, 1995
    Date of Event
    April 7, 1993
    Report Date
    February 16, 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 HAS HAD DIFFERENT PAIN SINCE DEVICE, BLADDER PROBLEMS NUMBNESS IN RIGHT LEG, SEVERE PAIN ALL THE WAY DOWN LEG. SOME PAIN SAME AS BEFORE AND MUSCLE SPASMS IN LOWER BACK ALMOST CONSTANTLY. DEVICE INTERFERES WITH PERSONAL LIFE ALSO.

    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 35 YR Disability