BEUDAMED
    FDA Adverse Event Death Summary report: N

    BAXTER LIFESPAN EPTFE GRAFT

    MDR report key: 41318 · Received October 3, 1996

    Report

    Report Number
    6000002-1996-00146
    Event Type
    Death
    Date Received
    October 3, 1996
    Date of Event
    August 5, 1996
    Report Date
    September 4, 1996
    Manufacturer
    BAXTER HEALTHCARE CORP. VASCULAR DIV.
    Product Code
    DSY
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    VA, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    THIS EVENT WAS REPORTED AS: THROMBOSIS. NO FURTHER INFO PROVIDED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BAXTER LIFESPAN EPTFE GRAFT Implant VASCULAR GRAFT DSY BAXTER HEALTHCARE CORP. VASCULAR DIV. RS47045 5K1472

    Patients

    Seq Age Sex Outcome Treatment
    1 69 YR Required Intervention