BEUDAMED
    FDA Adverse Event Death Summary report: N

    JOHNSON & JOHNSON (CORDIS)

    MDR report key: 1022242 · Received April 1, 2008

    Report

    Report Number
    MW5006085
    Event Type
    Death
    Date Received
    April 1, 2008
    Date of Event
    October 12, 2007
    Manufacturer
    CORDIS
    Product Code
    NIQ
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NY, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PT HAD BARE METAL STENTS AND DRUG ELUTING STENTS WITH HIS HEART. THE DES WAS PLACED IN HIS LAD IN APRIL 2003 AFTER BEING APPROVED BY THE FDA. PT SUFFERED A SUDDEN DEATH IN 2007.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 JOHNSON & JOHNSON (CORDIS) CYPHER STENT NIQ CORDIS * A1102356
    2 JOHNSON & JOHNSON (CORDIS) CYPHER STENT NIQ CORDIS A0203782

    Patients

    Seq Age Sex Outcome Treatment
    1 * Death