BEUDAMED
    FDA Adverse Event Death Summary report: N

    C TYPE GUIDE WIRE

    MDR report key: 17389 · Received September 16, 1994

    Report

    Report Number
    17389
    Event Type
    Death
    Date Received
    September 16, 1994
    Date of Event
    August 31, 1994
    Report Date
    September 2, 1994
    Manufacturer
    HEART TECHNOLOGY,INC.
    Product Code
    DQX
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    AL, US
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    CORONARY ARTERY DISEASE, RIGHT CORONARY ARTERY, PENDING PERCUTANEOUS TRANSLUMINAL CORONARY ROTABLATOR ANGIOPLASTY. STATUS POST ACUTE MYOCARDIAL INFARCTION INTERRUPTED EARLY WITH TPA, CARDIOGENIC SHOCK, THIRD DEGREE HEART BLOCK.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 C TYPE GUIDE WIRE DQX HEART TECHNOLOGY,INC. 22114-6 W-30293, W-33-591, W-33740

    Patients

    Seq Age Sex Outcome Treatment
    1 82 YR Death