FDA Adverse Event
Death
Summary report: N
2029214-2012-00147
MDR report key: 2495196
·
Received March 19, 2012
Report
- Report Number
- 2029214-2012-00147
- Event Type
- Death
- Date Received
- March 19, 2012
- Date of Event
- October 1, 2009
- Report Date
- March 19, 2025
- Manufacturer
- MICRO THERAPEUTICS, INC. DBA EV3
- PMA / PMN Number
- P100018
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 75 YR | Male | Death |