FDA Adverse Event
Malfunction
Summary report: N
ELCA
MDR report key: 20309007
·
Received September 26, 2024
Report
- Report Number
- 20309007
- Event Type
- Malfunction
- Date Received
- September 26, 2024
- Date of Event
- June 12, 2024
- Report Date
- July 8, 2024
- Manufacturer
- SPECTRANETICS CORP.
- Product Code
- LPC
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- RI
- Reporter Occupation
- RISK MANAGER
- Health Professional
- N
Narratives
Description of Event or Problem · 0
WHEN ATTEMPTING TO LASER ARTERY USING ELCA LASER ARTHERECTOMY CATHETER ERROR MESSAGE OCCURRED AND DEVICE WOULD NOT WORK.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1199566 | ELCA | DEVICE, ANGIOPLASTY, LASER, CORONARY | LPC | SPECTRANETICS CORP. | 110-004 | FG023C21B |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 59 YR | Female |