BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SHINOBI SGW

    MDR report key: 417190 · Received September 19, 2002

    Report

    Report Number
    1016427-2002-00105
    Event Type
    Injury
    Date Received
    September 19, 2002
    Date of Event
    May 8, 2002
    Report Date
    June 4, 2002
    Manufacturer
    CORDIS CORP. ( MIAMI)
    Product Code
    DQX
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    UK
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    TIP OF THE WIRE FRACTURED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SHINOBI SGW CARDIOLOGY WIRES & METALS DQX CORDIS CORP. ( MIAMI) NA 50102120

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN