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 |