BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BALLOON

    MDR report key: 32673 · Received May 2, 1996

    Report

    Report Number
    MW4001167
    Event Type
    Injury
    Date Received
    May 2, 1996
    Date of Event
    August 11, 1995
    Report Date
    April 16, 1996
    Manufacturer
    BOSTON SCIENTIFIC CORP.
    Product Code
    LIT
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    BOSTON SCIENTIFIC CORP. 480 PLEASANT ST, WATERTOWN, MA 02172. NO OTHER INFO HAS BEEN PROVIDED AND OUR INVESTIGATION INTO THIS MATTER HAS PROVEN UNSUCCESSFUL. NO FURTHER DETAILS ARE AVAILABLE. THIS MFR CONSIDERS THIS COMPLAINT/MDR CLOSED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BALLOON PERIPHERAL ANGIOPLASTY CATHETER LIT BOSTON SCIENTIFIC CORP. 10X4

    Patients

    Seq Age Sex Outcome Treatment
    1 NO INFO