FDA Adverse Event Other Summary report: N

TITANIUM CLIP

MDR report key: 2622613 · Received June 7, 2012

Report

Report Number
MW5025831
Event Type
Other
Date Received
June 7, 2012
Report Date
June 7, 2012
Product Code
NEU
Report Source
Voluntary report
Reporter Location
TX, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

TITANIUM CLIP. PAIN IN BREAST, VERY BAD PAIN IN ARM SAME SIDE AS CLIP IS IN. WHEN I HAVE REACHED FOR SOMETHING VERY, VERY STRONG PARALYZING PAIN, CAN'T MOVE. IF I MOVE, PAIN GOES HIGH UP IN CHEST, FEELS LIKE SOMETHING IS GOING TO BURST.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TITANIUM CLIP TITANIUM CLIP NEU

Patients

Seq Age Sex Outcome Treatment
1 64 YR