BEUDAMED
    FDA Adverse Event Injury Summary report: N

    LASER-STAR CATHETER

    MDR report key: 256180 · Received December 17, 1999

    Report

    Report Number
    2020638-1999-00030
    Event Type
    Injury
    Date Received
    December 17, 1999
    Date of Event
    November 18, 1999
    Report Date
    November 19, 1999
    Manufacturer
    CORDIS WEBSTER, INC.
    Product Code
    GEX
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    FOLLOWING THE "DMR" PROCEDURE, PT DEVELOPED A PERICARIDAL EFFUSION AND WAS TRANSFERRED TO THE CORONARY CARE UNIT FOR OBSERVATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LASER-STAR CATHETER THERAPEUTIC CATHETER GEX CORDIS WEBSTER, INC. D-1209-11-SI 9080893

    Patients

    Seq Age Sex Outcome Treatment
    1 * Life Threatening NO INFO AT THIS TIME.