BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HI-TORQUE WHISPER VIEW EXTRA SUPPORT CS-J (ES CS-J) GUIDE WIRE

    MDR report key: 1683396 · Received May 7, 2010

    Report

    Report Number
    2124215-2010-07494
    Event Type
    Malfunction
    Date Received
    May 7, 2010
    Date of Event
    January 25, 2010
    Report Date
    May 7, 2010
    Manufacturer
    GUIDANT PUERTO RICO BV
    Product Code
    DTB
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MD, US
    Reporter Occupation
    INVALID DATA

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HI-TORQUE WHISPER VIEW EXTRA SUPPORT CS-J (ES CS-J) GUIDE WIRE GUIDE WIRE DTB GUIDANT PUERTO RICO BV 4635 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 66 YR