BEUDAMED
    FDA Adverse Event Injury Summary report: N

    TRISTAR

    MDR report key: 277084 · Received April 28, 2000

    Report

    Report Number
    277084
    Event Type
    Injury
    Date Received
    April 28, 2000
    Date of Event
    April 4, 2000
    Report Date
    April 20, 2000
    Manufacturer
    GUIDANT
    Product Code
    MAF
    Report Source
    User Facility report
    Reporter Location
    FL, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    GUIDANT TRISTAR STENT LOT # 0030852 STOCK # 1003476-13 MOVED FROM CIRCUMFLEX CORONARY ARTERY TO LEFT MAIN CORONARY ARTERY DURING INFLATION DEPLOYMENT. PT WENT TO EMERGENT CABG - STABLE CONDITION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TRISTAR CORONARY STENT MAF GUIDANT * 0030852

    Patients

    Seq Age Sex Outcome Treatment
    1 * Hospitalization| R