BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HI-TORQUE WIGGLE

    MDR report key: 2780794 · Received October 4, 2012

    Report

    Report Number
    2780794
    Event Type
    Malfunction
    Date Received
    October 4, 2012
    Date of Event
    October 2, 2012
    Report Date
    October 4, 2012
    Manufacturer
    ABBOTT VASCULAR
    Product Code
    DQX
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    CA, US
    Reporter Occupation
    INVALID DATA

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HI-TORQUE WIGGLE WIRE, GUIDE, CATHETER DQX ABBOTT VASCULAR HI-TORQUE WIGGLE (2CM) *

    Patients

    Seq Age Sex Outcome Treatment
    1 73 YR