BEUDAMED
    FDA Adverse Event Other Summary report: N

    SCOPE, 5MM CUSTOM EXTENDED LENGTH

    MDR report key: 241754 · Received September 16, 1999

    Report

    Report Number
    2939738-1999-00032
    Event Type
    Other
    Date Received
    September 16, 1999
    Date of Event
    August 18, 1999
    Report Date
    September 1, 1999
    Manufacturer
    GUIDANT CORP., CARDIAC & VASCULAR SURGERY GRP., ORIGIN MEDSYSTEMS, INC.
    Product Code
    GCJ
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    SCOPE, VERY CLOUDY. IT HAPPENED AUG. 18, PT CONVERTED TO OPEN PROCEDURE. PT RECOVERY AND DOING WELL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SCOPE, 5MM CUSTOM EXTENDED LENGTH SCOPE GCJ GUIDANT CORP., CARDIAC & VASCULAR SURGERY GRP., ORIGIN MEDSYSTEMS, INC. OMS-5LSSO 121197

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Other