BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CYPHER SIROLIMUS-ELUTING CORONARY STENT

    MDR report key: 497613 · Received November 18, 2003

    Report

    Report Number
    9610978-2003-00577
    Event Type
    Injury
    Date Received
    November 18, 2003
    Date of Event
    July 4, 2003
    Report Date
    November 17, 2003
    Manufacturer
    CORDIS EUROPA, N.V.
    Product Code
    NIQ
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IS
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    SAT AND NON-Q MI.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CYPHER SIROLIMUS-ELUTING CORONARY STENT DRUG-ELUTING STENT NIQ CORDIS EUROPA, N.V. UNK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Life Threatening