BEUDAMED
    FDA Adverse Event Injury Summary report: N

    VISIONS PV-82

    MDR report key: 1058365 · Received January 22, 2008

    Report

    Report Number
    1058365
    Event Type
    Injury
    Date Received
    January 22, 2008
    Date of Event
    November 13, 2007
    Report Date
    November 14, 2007
    Manufacturer
    VOLCANO CORP
    Product Code
    GCJ
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE INTRAVASCULAR ULTRASOUND IMAGING CATHETER TIP DISLODGED AND CANNOT BE LOCATED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VISIONS PV-82 NONE GCJ VOLCANO CORP 88900 00401549

    Patients

    Seq Age Sex Outcome Treatment
    1 82 YR