FDA Adverse Event Malfunction Summary report: N

J & J STENT

MDR report key: 31486 · Received January 30, 1996

Report

Report Number
31486
Event Type
Malfunction
Date Received
January 30, 1996
Report Date
August 1, 1995
Manufacturer
JOHNSON & JOHNSON INTERVENTIONAL SYSTEMS CO.
Product Code
MAF
Product Problem
Yes
Report Source
User Facility report
Reporter Location
PA, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

STENT DISCONNECTED FROM CATHETER. LOST IN VASCULATURE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 J & J STENT STENT MAF JOHNSON & JOHNSON INTERVENTIONAL SYSTEMS CO. HH0379

Patients

Seq Age Sex Outcome Treatment
1 NO INFO