FDA Adverse Event
Injury
Summary report: N
HI-TORQUE WHISPER MOD. SUPPORT J (MS-J) GUIDE WIRE
MDR report key: 1382273
·
Received February 10, 2009
Report
- Report Number
- 2124215-2008-00906
- Event Type
- Injury
- Date Received
- February 10, 2009
- Date of Event
- November 6, 2008
- Report Date
- February 10, 2009
- Manufacturer
- GUIDANT PUERTO RICO BV
- Product Code
- LWP
- Removal / Correction Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NJ, US
- Reporter Occupation
- INVALID DATA
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | HI-TORQUE WHISPER MOD. SUPPORT J (MS-J) GUIDE WIRE | GUIDE WIRE | LWP | GUIDANT PUERTO RICO BV | 6738 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |