BEUDAMED
    FDA Adverse Event Injury Summary report: N

    COOK INC

    MDR report key: 404430 · Received June 25, 2002

    Report

    Report Number
    404430
    Event Type
    Injury
    Date Received
    June 25, 2002
    Date of Event
    June 20, 2002
    Report Date
    June 25, 2002
    Manufacturer
    *
    Product Code
    DQX
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    PA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    GUIDEWIRE LODGED IN ARTERY DURING PTCA. REQUIRED SURGICAL REMOVAL AND REPAIR OF SUPERFICIAL FEMORAL ARTERY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 COOK INC GUIDE WIRE DQX * TSCF-35-145-3 1138531

    Patients

    Seq Age Sex Outcome Treatment
    1 67 YR Required Intervention