BEUDAMED
    FDA Adverse Event Death Summary report: N

    PULSE SPRAY INJECTOR

    MDR report key: 378810 · Received February 25, 2002

    Report

    Report Number
    1319211-2002-00007
    Event Type
    Death
    Date Received
    February 25, 2002
    Date of Event
    January 24, 2002
    Report Date
    February 25, 2002
    Manufacturer
    ANGIODYNAMICS INC.
    Product Code
    DXT
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OK, US
    Reporter Occupation
    RESPIRATORY THERAPIST

    Narratives

    Description of Event or Problem · 1

    PT WENT INTO CARDIAC ARREST WHEN A MYOCARDIAL INFARCTION OCCURRED AND EVENTUALLY EXPIRED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PULSE SPRAY INJECTOR * DXT ANGIODYNAMICS INC. NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 85 YR Death