BEUDAMED
    FDA Adverse Event Death Summary report: N

    ANCURE ENDOGRAFT SYSTEM

    MDR report key: 425892 · Received November 1, 2002

    Report

    Report Number
    2954310-2002-00242
    Event Type
    Death
    Date Received
    November 1, 2002
    Date of Event
    June 23, 2002
    Report Date
    October 2, 2002
    Manufacturer
    GUIDANT ENDOVASCULAR SOLUTIONS
    Product Code
    MIH
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    VA, US
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    EVENT: PT DEATH. IT WAS REPORTED TO GUIDANT ON 10/02/2002 THAT A PT IMPLANTED IN 2002 EXPIRED 3 DAYS POST IMPLANT FROM BOWEL ISCHEMIA.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ANCURE ENDOGRAFT SYSTEM ENDOVASCULAR GRAFT SYSTEM MIH GUIDANT ENDOVASCULAR SOLUTIONS NA NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Death