BEUDAMED
    FDA Adverse Event Other Summary report: N

    JOSTENT CORONARY STENT GRAFT

    MDR report key: 407471 · Received July 24, 2002

    Report

    Report Number
    2939520-2002-00038
    Event Type
    Other
    Date Received
    July 24, 2002
    Date of Event
    April 3, 2002
    Manufacturer
    JOMED GMBH
    Product Code
    DSY
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    CONTINUED CONTRAST EXTRAVASATION OF MID SVG TO OMG, POST PROCEDURE. PERICARDIOCENTESIS. PERFORMED PERCARDIAL DRAINAGE. TUBE LEFT IN PLACE. SURGERY NOT REQUIRED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 JOSTENT CORONARY STENT GRAFT CORONARY STENT GRAFT DSY JOMED GMBH 010CG16UA 057756

    Patients

    Seq Age Sex Outcome Treatment
    1 70 YR Other