FDA Adverse Event Malfunction Summary report: N

GDC 10-SOFT SR STRETCH RESISTANT SYNERG DETECTION CIRCUIT

MDR report key: 387025 · Received April 2, 2002

Report

Report Number
6000078-2002-00032
Event Type
Malfunction
Date Received
April 2, 2002
Date of Event
February 25, 2002
Report Date
March 27, 2002
Manufacturer
TARGET THERAPEUTICS/A DIVISION OF BOSTON SCIENTIFIC CORPORATION
Product Code
HCG
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

IT WAS REPORTED TO BSC/TARGET THAT GDC 10-SOFT SR STRETCH RESISTANT SYNERG DETECTION CIRCUIT DETACHED PREMATURELY. THE DEVICE WAS REMOVED SUCCESSFULLY. THE PATIENT'S CONDITION WAS NOT AFFECTED BY THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 GDC 10-SOFT SR STRETCH RESISTANT SYNERG DETECTION CIRCUIT DETACHABLE COIL HCG TARGET THERAPEUTICS/A DIVISION OF BOSTON SCIENTIFIC CORPORATION * 3918781

Patients

Seq Age Sex Outcome Treatment
1 NO INFO