BEUDAMED
    FDA Adverse Event Summary report: N

    ANGIO-SEAL

    MDR report key: 2862305 · Received November 29, 2012

    Report

    Report Number
    2862305
    Date Received
    November 29, 2012
    Date of Event
    November 16, 2012
    Report Date
    November 29, 2012
    Manufacturer
    ST. JUDE MEDICAL, INC.
    Product Code
    MGB
    Report Source
    User Facility report
    Reporter Location
    VA, US
    Reporter Occupation
    RISK MANAGER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ANGIO-SEAL DEVICE, HEMOSTASIS, VASCULAR MGB ST. JUDE MEDICAL, INC. * 3745096

    Patients

    Seq Age Sex Outcome Treatment
    1 62 YR