BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CORDIS

    MDR report key: 2982714 · Received February 22, 2013

    Report

    Report Number
    MW5029158
    Event Type
    Injury
    Date Received
    February 22, 2013
    Date of Event
    February 13, 2013
    Report Date
    February 22, 2013
    Manufacturer
    CORDIS
    Product Code
    DTK
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    IVC FILTER WAS UNABLE TO BE DEPLOYED DURING PROCEDURE. UPON INSPECTION, IT WAS FOUND THAT THE FILTER STRUT WAS PROTRUDING THROUGH THE SHEATH.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    77354 CORDIS OPTEASE FILTER DTK CORDIS

    Patients

    Seq Age Sex Outcome Treatment
    1 63 YR Required Intervention