BEUDAMED
    FDA Adverse Event Death Summary report: N

    NAVISTAR CATHETER

    MDR report key: 255497 · Received December 17, 1999

    Report

    Report Number
    2020638-1999-00029
    Event Type
    Death
    Date Received
    December 17, 1999
    Date of Event
    November 18, 1999
    Report Date
    November 19, 1999
    Manufacturer
    CORDIS WEBSTER, INC.
    Product Code
    DQO
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    CARDIAC ARREST DURING RADIOFREQUENCY ABLATION PROCEDURE FOR CONTROL OF ECTOPIC ATRIAL TACHYCARDIA.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NAVISTAR CATHETER DIAGNOSTIC CATHETER DQO CORDIS WEBSTER, INC. D-1185-08-S NI

    Patients

    Seq Age Sex Outcome Treatment
    1 28 YR Death GUIDING SHEATHS,| EPT OCTAPOLAR CATHETER.