BEUDAMED
    FDA Adverse Event Death Summary report: N

    UTERINE ARTERY EMBOLIZATION

    MDR report key: 1661527 · Received April 13, 2010

    Report

    Report Number
    MW5015536
    Event Type
    Death
    Date Received
    April 13, 2010
    Date of Event
    November 19, 2009
    Report Date
    April 13, 2010
    Product Code
    NAJ
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    REPORTED BY A FAMILY MEMBER. WOMAN DIED 13 DAYS POST UAE. SHE WAS HOSPITALIZED OVERNIGHT, DISCHARGED NEXT DAY, READMITTED TO THE HOSPITAL WITH NO PULSE AND MASSIVE BLOOD CLOTS IN HER LEG. SHE APPARENTLY UNDERWENT UNWARRANTED HEART SURGERY AND EXPIRED 13 DAYS POST UAE. DATES OF USE: PERMANENT. DIAGNOSIS OR REASON FOR USE: FIBROIDS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UTERINE ARTERY EMBOLIZATION NAJ

    Patients

    Seq Age Sex Outcome Treatment
    1 50 YR Death| H| O