FDA Adverse Event Injury Summary report: N

HARRINGTON ROD

MDR report key: 6136192 · Received November 29, 2016

Report

Report Number
MW5066425
Event Type
Injury
Date Received
November 29, 2016
Date of Event
May 1, 2015
Report Date
November 29, 2016
Manufacturer
UNK07/01/1978
Product Code
PGM
Adverse Event
Yes
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
VA, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

NEUROGENIC BLADDER. HARRINGTON ROD IMPLANTED (B)(6) 1978. (B)(6) 2015, I HAD A CT SCAN FOR POSSIBLE OVARIAN CANCER, THE ROD WAS DISCOVERED BROKEN AT THIS TIME. PRIOR TO THAT, I BEGAN HAVING PAIN, NUMBNESS AND WEAKNESS DOWN THE LEFT LEG ALONG WITH BLADDER INCONTINENCE. I AM A (B)(6) FEMALE NOW. I'M A NURSE AND UNABLE TO PERFORM MY JOB AT THE HIGH LEVEL I COULD PREVIOUSLY DUE TO PAIN AND NUMBNESS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
784341 HARRINGTON ROD HARRINGTON ROD PGM UNK07/01/1978

Patients

Seq Age Sex Outcome Treatment
1 56 YR Other| R