BEUDAMED
    FDA Adverse Event Death Summary report: N

    COMPLETE SE SFA - IDE

    MDR report key: 3451588 · Received November 6, 2013

    Report

    Report Number
    2953200-2013-01209
    Event Type
    Death
    Date Received
    November 6, 2013
    Date of Event
    April 22, 2013
    Report Date
    October 15, 2013
    Manufacturer
    MEDTRONIC CARDIOVASCULAR SANTA ROSA
    Product Code
    NIP
    PMA / PMN Number
    K062264
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    DC, US
    Reporter Occupation
    OTHER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    574406 COMPLETE SE SFA - IDE STENT, SUPERFICIAL FEMORAL ARTERY NIP MEDTRONIC CARDIOVASCULAR SANTA ROSA

    Patients

    Seq Age Sex Outcome Treatment
    1 Male Death