FDA Adverse Event
Injury
Summary report: N
CHARITE ARTIFICIAL DISC
MDR report key: 744273
·
Received July 3, 2006
Report
- Report Number
- MW1039595
- Event Type
- Injury
- Date Received
- July 3, 2006
- Date of Event
- June 15, 2006
- Report Date
- July 3, 2006
- Manufacturer
- J & J
- Product Code
- MJO
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- MD
- Reporter Occupation
- PHYSICIAN
Narratives
Description of Event or Problem · 1
PT HAD CHARITE ARTIFICIAL DISC PLACED AT THE L5-S1 LEVEL OVER ONE YEAR AGO. BACK PAIN PERSISTED. HAD INCREASE IN BACK PAIN ABOUT TWO WEEKS AGO. HE ALSO HAD DIFFICULTY URINATING, A PROBLEM HE ATTRIBUTED TO PRIOR PROSTATE ENLARGEMENT. BACK WORSENED AND WAS ADMITTED TO HOSP. X-RAYS SHOWED DISRUPTION OF ARTIFICIAL DISC WITH POSTERIOR HERNIATION OF DISC CENTER INTO SACRAL SPINAL CANAL. EXTENSIVE SURGERY WAS REQUIRED AT THE HOSP WHERE THE DISC WAS INITIALLY PLACED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | CHARITE ARTIFICIAL DISC | CHARITE ARTIFICIAL DISC | MJO | J & J | * | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 55 YR | Disability |