BEUDAMED
    FDA Adverse Event Death Summary report: N

    ANCURE ENDOGRAFT

    MDR report key: 1180446 · Received September 26, 2008

    Report

    Report Number
    2954310-2008-81668
    Event Type
    Death
    Date Received
    September 26, 2008
    Date of Event
    March 28, 2002
    Report Date
    September 25, 2008
    Manufacturer
    GUIDANT ENDOVASCULAR SOLUTIONS
    Product Code
    MIH
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    INFO WAS RECEIVED THAT THE PT IMPLANTED WITH THIS ANCURE ENDOGRAFT PASSED AWAY TWO DAYS POST IMPLANT DUE TO SEPTICEMIA. THIS INFO WAS REPORTED BY THE PT'S FAMILY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ANCURE ENDOGRAFT GRAFT MIH GUIDANT ENDOVASCULAR SOLUTIONS 16035

    Patients

    Seq Age Sex Outcome Treatment
    1 Death