BEUDAMED
    FDA Adverse Event Injury Summary report: N

    WIRE GUIDE

    MDR report key: 1081123 · Received July 3, 2008

    Report

    Report Number
    1820334-2008-00335
    Event Type
    Injury
    Date Received
    July 3, 2008
    Date of Event
    November 12, 2007
    Report Date
    June 6, 2008
    Manufacturer
    COOK, INC.
    Product Code
    DQX
    Adverse Event
    Yes
    Report Source
    Manufacturer report

    Narratives

    Additional Manufacturer Narrative · 1

    EVAL: THIS EVENT IS STILL UNDER INVESTIGATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 WIRE GUIDE DQX WIRE, GUIDE CATHETER DQX COOK, INC. NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Required Intervention