BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MYNX VASCULAR CLOSUR EDEVICE

    MDR report key: 1649791 · Received March 30, 2010

    Report

    Report Number
    MW5015385
    Event Type
    Injury
    Date Received
    March 30, 2010
    Date of Event
    September 16, 2009
    Report Date
    March 30, 2010
    Manufacturer
    ACCESSCLOSURE INC
    Product Code
    MGB
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    OR, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    MYNX VASCULAR CLOSURE DEVICE USED TO CLOSE FEMORAL ARTERY AFTER CEREBRAL ANGIOGRAM, FOLLOW-UP ANGIOGRAM DOCUMENTED INTRAVASCULAR DEPLOYMENT OF MATERIAL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MYNX VASCULAR CLOSUR EDEVICE NONE MGB ACCESSCLOSURE INC

    Patients

    Seq Age Sex Outcome Treatment
    1 68 YR Other