BEUDAMED
    FDA Adverse Event Other Summary report: N

    MICROVASIVE

    MDR report key: 295112 · Received September 8, 2000

    Report

    Report Number
    MW1019868
    Event Type
    Other
    Date Received
    September 8, 2000
    Date of Event
    August 23, 2000
    Report Date
    September 8, 2000
    Manufacturer
    MICROVASIVE BOSTON SCIENTIFIC
    Product Code
    FDI
    Report Source
    Voluntary report
    Reporter Location
    NJ, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    SNARE DEFECTIVE. DOES NOT CLOSE COMPLETELY. OCCURRED TWICE, 2 SEPARATE SNARES, SAME LOT NUMBER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MICROVASIVE SINGLE-USE SNARE FDI MICROVASIVE BOSTON SCIENTIFIC * 2215854

    Patients

    Seq Age Sex Outcome Treatment
    1 50 YR Other