BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PATHFINDER 020, 6, 2-5-2, 135

    MDR report key: 505173 · Received December 16, 2003

    Report

    Report Number
    2951009-2003-00013
    Event Type
    Malfunction
    Date Received
    December 16, 2003
    Date of Event
    November 6, 2003
    Report Date
    December 15, 2003
    Manufacturer
    CARDIMA, INC.
    Product Code
    DRF
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    JA
    Reporter Occupation
    PHYSICIAN

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PATHFINDER 020, 6, 2-5-2, 135 PATHFINDER DRF CARDIMA, INC. 01-063006 M2004

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other