BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SPINAL IMPLANT

    MDR report key: 21654 · Received May 3, 1995

    Report

    Report Number
    MW1005817
    Event Type
    Injury
    Date Received
    May 3, 1995
    Date of Event
    May 14, 1993
    Report Date
    March 16, 1995
    Manufacturer
    UNKNOWN
    Product Code
    JDN
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    SEVERE PAIN; SLEEPLESSNESS; PAIN AND NUMBNESS IN ARMS AND LEGS; KNOT-LIKE FEELING IN BACK WHERE DEVICE IS; CAN'T WALK, SIT OR STAND FOR ANY LENGTH OF TIME; ALWAYS UNCOMFORTABLE.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 39 YR Disability