BEUDAMED
    FDA Adverse Event Other Summary report: N

    CYPHER SIROLIMUS-ELUTING CORONARY STENT

    MDR report key: 470581 · Received July 10, 2003

    Report

    Report Number
    3003742446-2003-00142
    Event Type
    Other
    Date Received
    July 10, 2003
    Report Date
    July 10, 2003
    Manufacturer
    CORIDS LLC (PR)
    Product Code
    NIQ
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OR, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    ALLERGIC REACTION POST IMPLANTATION OF A CYPHER STENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CYPHER SIROLIMUS-ELUTING CORONARY STENT CYPHER SIROLIMUS-ELUTING CORONARY STENT NIQ CORIDS LLC (PR) NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other