BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ULTRAFLOW HPC FLOW-DIRECTED MICRO CATHETER

    MDR report key: 507227 · Received December 31, 2003

    Report

    Report Number
    2029214-2003-00052
    Event Type
    Malfunction
    Date Received
    December 31, 2003
    Date of Event
    December 1, 2003
    Report Date
    December 1, 2003
    Manufacturer
    MICRO THERAPEUTICS, INC.
    Product Code
    KRA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MI, US
    Reporter Occupation
    PHYSICIAN

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ULTRAFLOW HPC FLOW-DIRECTED MICRO CATHETER NEURO MICRO CATHETER KRA MICRO THERAPEUTICS, INC. 105-5066 77540

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN