BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SPINAL IMPLANT

    MDR report key: 26723 · Received July 21, 1995

    Report

    Report Number
    MW4000732
    Event Type
    Injury
    Date Received
    July 21, 1995
    Date of Event
    July 8, 1991
    Report Date
    March 1, 1995
    Manufacturer
    UNKNOWN
    Product Code
    JDN
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    OK, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    HAD BACK SURGERY 11/91. NO PHYSICAL TRAINING OF ANY KIND. HAD BACK SURGERY IN 12/92. HAD IMPLANT PLACED ON BACK. HAD PHYSICIAL THERAPY OTHER SURGERY. STILL HAVE PROBLEMS WITH BACK, LOSS CONTROL OF RIGHT LEG AND PAIN.

    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