BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ANGIO-SEAL VIP

    MDR report key: 2772374 · Received August 27, 2012

    Report

    Report Number
    2772374
    Event Type
    Malfunction
    Date Received
    August 27, 2012
    Date of Event
    March 28, 2012
    Report Date
    August 27, 2012
    Manufacturer
    ST. JUDE MEDICAL
    Product Code
    MGB
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    AZ, US

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ANGIO-SEAL VIP DEVICE, HEMOSTASIS, VASCULAR MGB ST. JUDE MEDICAL * 3549271

    Patients

    Seq Age Sex Outcome Treatment
    1 76 YR