BEUDAMED
    FDA Adverse Event Other Summary report: N

    CORDIS SUPER SOFT LU-SEE

    MDR report key: 14844 · Received April 29, 1994

    Report

    Report Number
    14844
    Event Type
    Other
    Date Received
    April 29, 1994
    Date of Event
    March 28, 1994
    Report Date
    April 21, 1994
    Manufacturer
    CORDIS CORP.
    Product Code
    DQX
    Report Source
    User Facility report
    Reporter Location
    NC, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE CORONARY WIRE FRACTURED OFF AT THE DISTAL END AND REMAINS IN THE DISTAL LAD ARTERY. THIS OCCURRED DURING REMOVAL OF THE BALLOON AND WIRE FROM THE CATHETER. THE RETAINED WIRE MEASURES 2 CM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CORDIS SUPER SOFT LU-SEE GUIDE WIRE DQX CORDIS CORP. 41193582

    Patients

    Seq Age Sex Outcome Treatment
    1 72 YR Other