BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    GC F6 .067 JFL LT 100CM

    MDR report key: 281930 · Received June 8, 2000

    Report

    Report Number
    1016427-2000-00129
    Event Type
    Malfunction
    Date Received
    June 8, 2000
    Date of Event
    May 8, 2000
    Report Date
    June 7, 2000
    Manufacturer
    CORDIS CORPORATION (MIAMI)
    Product Code
    DQX
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MO, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE TIP OF THE CATHETER BROKE OFF.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 GC F6 .067 JFL LT 100CM CARDIOLOGY GUIDING CATHETER DQX CORDIS CORPORATION (MIAMI) NA A0299770

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN