BEUDAMED
    FDA Adverse Event Injury Summary report: N

    DGW .035 FC STR 150CM TEF LLT

    MDR report key: 281304 · Received June 7, 2000

    Report

    Report Number
    1016427-2000-00130
    Event Type
    Injury
    Date Received
    June 7, 2000
    Date of Event
    May 4, 2000
    Report Date
    June 6, 2000
    Manufacturer
    CORDIS CORP (MIAMI)
    Product Code
    MKI
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IA, US
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    A SMALL KNOT AT THE TIP, WHICH HAD TO BE SURGICALLY REMOVED FROM THE PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DGW .035 FC STR 150CM TEF LLT CARDIOLOGY WIRES & METALS MKI CORDIS CORP (MIAMI) NA F0200792

    Patients

    Seq Age Sex Outcome Treatment
    1 *