BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ARTERIOVENOUS GRAFT

    MDR report key: 11826 · Received March 1, 1994

    Report

    Report Number
    MW1000945
    Event Type
    Injury
    Date Received
    March 1, 1994
    Date of Event
    January 4, 1993
    Report Date
    February 1, 1994
    Manufacturer
    UNKNOWN
    Product Code
    FIQ
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    PT HAD EXCISION OF LEFT ARM VEIN AND ARTERIOVENOUS GRAFT FROM LEFT ARM FOR THROMBOSIS/ACUTE INFLAMMATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ARTERIOVENOUS GRAFT Implant FIQ UNKNOWN

    Patients

    Seq Age Sex Outcome Treatment
    1 80 YR Required Intervention