BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ANCURE ENDOGRAFT

    MDR report key: 1210324 · Received October 21, 2008

    Report

    Report Number
    2954310-2008-81688
    Event Type
    Injury
    Date Received
    October 21, 2008
    Date of Event
    June 26, 2008
    Report Date
    October 21, 2008
    Manufacturer
    GUIDANT ENDOVASCULAR SOLUTIONS
    Product Code
    MIH
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Description of Event or Problem · 1

    ALLEGATION THAT THIS PT EXPIRED, DUE TO AN AORTIC ANEURYSM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ANCURE ENDOGRAFT GRAFT MIH GUIDANT ENDOVASCULAR SOLUTIONS 13440

    Patients

    Seq Age Sex Outcome Treatment
    1 Death