FDA Adverse Event
Death
Summary report: N
TRAPEASE PERMANENT VENA CAVA FILTER
MDR report key: 505640
·
Received January 9, 2004
Report
- Report Number
- 9610978-2004-00019
- Event Type
- Death
- Date Received
- January 9, 2004
- Date of Event
- December 4, 2003
- Report Date
- January 7, 2004
- Manufacturer
- CORDIS EUROPA, N.V.
- Product Code
- DTK
- Removal / Correction Number
- NA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- VA, US
- Reporter Occupation
- PHYSICIAN
Narratives
Description of Event or Problem · 1
VENA CAVA FILTER MIGRATION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | TRAPEASE PERMANENT VENA CAVA FILTER | THROMBECTOMY SYSTEMS | DTK | CORDIS EUROPA, N.V. | NA | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 38 YR | Death |