BEUDAMED
    FDA Adverse Event Other Summary report: N

    PATHFINDER MINI 4,2-5-2, 170

    MDR report key: 221626 · Received April 29, 1999

    Report

    Report Number
    2951009-1999-00001
    Event Type
    Other
    Date Received
    April 29, 1999
    Date of Event
    April 1, 1999
    Report Date
    April 29, 1999
    Manufacturer
    CARDIMA, INC.
    Product Code
    DRF
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OK, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    UPON REMOVAL THE PHYSICIAN NOTICED THAT THE TIP COIL WAS MISSING. FURTHER TEST INDICATED THAT THE TIP COIL WAS LODGED IN A VEIN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PATHFINDER MINI 4,2-5-2, 170 PATHFINDER DRF CARDIMA, INC. 01-043016 M0746

    Patients

    Seq Age Sex Outcome Treatment
    1 NO INFO Other