BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CASHMERE COMPLEX CERECYTE COIL

    MDR report key: 1041334 · Received April 21, 2008

    Report

    Report Number
    1041334
    Event Type
    Malfunction
    Date Received
    April 21, 2008
    Date of Event
    April 7, 2008
    Report Date
    April 21, 2008
    Manufacturer
    MICRUS ENDOVASCULAR CORP.
    Product Code
    HCG
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    WI, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    COIL DID NOT UNSHEATH PROPERLY DURING PREPARATION FOR USE IN PATIENT. ANOTHER COIL WAS SUBSTITUTED, AND PATIENT WAS NOT INJURED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CASHMERE COMPLEX CERECYTE COIL COIL HCG MICRUS ENDOVASCULAR CORP. CRC140615-30 F39924

    Patients

    Seq Age Sex Outcome Treatment
    1 *