BEUDAMED
    FDA Adverse Event Other Summary report: N

    BOSTON SCIENTIFIC

    MDR report key: 310331 · Received December 27, 2000

    Report

    Report Number
    310331
    Event Type
    Other
    Date Received
    December 27, 2000
    Date of Event
    November 15, 2000
    Report Date
    December 4, 2000
    Manufacturer
    BOSTON SCIENTIFIC
    Product Code
    DQX
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BOSTON SCIENTIFIC GRAPHIX GUIDE WIRE DQX BOSTON SCIENTIFIC NA 3351304

    Patients

    Seq Age Sex Outcome Treatment
    1 54 YR Other