BEUDAMED
    FDA Adverse Event Injury Summary report: N

    *

    MDR report key: 443987 · Received February 20, 2003

    Report

    Report Number
    2242056-2003-00002
    Event Type
    Injury
    Date Received
    February 20, 2003
    Date of Event
    December 26, 2002
    Report Date
    February 19, 2003
    Manufacturer
    ALTO DEVELOPMENT CORP./DBA A&E MEDICAL CORP.
    Product Code
    LDF
    Removal / Correction Number
    NA
    Report Source
    Manufacturer report
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    CORONARY BYPASS PT EXPERIENCED TEAR IN ATRIUM AT TEMPORARY CARDIAC PACING WIRE ATTACHMENT SITE. THE PACING WIRE WAS REATTACHED TO THE INFERIOR VENA CAVA.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * * LDF ALTO DEVELOPMENT CORP./DBA A&E MEDICAL CORP. NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1