BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MARATHON MICRO CATHETER

    MDR report key: 2881519 · Received December 20, 2012

    Report

    Report Number
    2029214-2012-00744
    Event Type
    Malfunction
    Date Received
    December 20, 2012
    Report Date
    November 27, 2012
    Manufacturer
    EV3 NEUROVASCULAR
    Product Code
    DYG
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Additional Manufacturer Narrative · 1

    THE DEVICE INVOLVED IN THE EVENT WILL NOT BE RETURNED FOR EVALUATION. (B)(4).

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE MARATHON CATHETER GOT STUCK DURING THE PROCEDURE. NO INJURY WAS REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MARATHON MICRO CATHETER FLOW-DIRECTED MICRO CATHETER DYG EV3 NEUROVASCULAR 105-5055 NOT REPORTED

    Patients

    Seq Age Sex Outcome Treatment
    1