BEUDAMED
    FDA Adverse Event Other Summary report: N

    ZENITH AAA ILIAC LEG GRAFT

    MDR report key: 504975 · Received December 16, 2003

    Report

    Report Number
    1820334-2003-00287
    Event Type
    Other
    Date Received
    December 16, 2003
    Date of Event
    November 19, 2003
    Report Date
    November 19, 2003
    Manufacturer
    COOK, INC.
    Product Code
    MIH
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    PHYSICIAN

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ZENITH AAA ILIAC LEG GRAFT ENDOVASCULAR GRAFT MIH COOK, INC. NA 1293823

    Patients

    Seq Age Sex Outcome Treatment
    1 61 YR Other