BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MICROVASIVE

    MDR report key: 34520 · Received July 2, 1996

    Report

    Report Number
    34520
    Event Type
    Malfunction
    Date Received
    July 2, 1996
    Date of Event
    June 25, 1996
    Report Date
    June 27, 1996
    Manufacturer
    MICROVASIVE BOSTON SCIENTIFIC CORP.
    Product Code
    FFK
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    CT, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    BASKET RETRIEVAL DEVICE DID NOT GO UP THE SECOND TIME.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MICROVASIVE STONE RETRIEVAL BASKET FFK MICROVASIVE BOSTON SCIENTIFIC CORP.

    Patients

    Seq Age Sex Outcome Treatment
    1 80 YR