BEUDAMED
    FDA Adverse Event Summary report: N

    DRUG-ELUTING STENT (NIQ)

    MDR report key: 4729210 · Received April 25, 2015

    Report

    Report Number
    1033553-2015-00020
    Date Received
    April 25, 2015
    Date of Event
    March 2, 2015
    Report Date
    April 25, 2015
    Product Code
    NIQ
    Report Source
    Manufacturer report
    Reporter Location
    GA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THIS IS A PRODUCTION VERIFICATION TEST. THIS IS NOT A ACTUAL COMPLAINT. THIS IS NOT A ACTUAL REPORT SUBMISSION, IT IS ONLY A SYSTEM TEST.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    274809 DRUG-ELUTING STENT (NIQ) NIQ D005T2L

    Patients

    Seq Age Sex Outcome Treatment
    1 78 YR