FDA Adverse Event
Injury
Summary report: N
LASER-STAR CATHETER
MDR report key: 252543
·
Received December 1, 1999
Report
- Report Number
- 2020638-1999-00027
- Event Type
- Injury
- Date Received
- December 1, 1999
- Date of Event
- November 1, 1999
- Report Date
- November 2, 1999
- Manufacturer
- CORDIS WEBSTER, INC.
- Product Code
- DRF
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- WA, US
- Reporter Occupation
- PHYSICIAN
Narratives
Description of Event or Problem · 1
PT SUFFERED CARDIAC ARREST POST-PROCEDURE, REQUIRING INTUBATION, INTRA-AORTIC BALLOON PUMP COUNTER-PULSATION, LEFT MAIN CORONARY ARTERY STENTING, AND LEFT ANTERIOR DESCENDING ARTERY STENTING.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | LASER-STAR CATHETER | THERAPEUTIC CATHETER | DRF | CORDIS WEBSTER, INC. | UNK | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | * | Life Threatening| R | 4. ANGIOGRAPHY CATH.| 3. REF-STAR,| 1. NAVISTAR,| 2. LASERSTAR, |