BEUDAMED
    FDA Adverse Event Death Summary report: N

    OPTEASE VENA CAVA FILTER - 55CM

    MDR report key: 517808 · Received March 24, 2004

    Report

    Report Number
    9610978-2004-00351
    Event Type
    Death
    Date Received
    March 24, 2004
    Date of Event
    February 19, 2004
    Report Date
    March 24, 2004
    Manufacturer
    CORDIS EUROPA, N.V.
    Product Code
    DTK
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MO, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    THE PT EXPIRED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 OPTEASE VENA CAVA FILTER - 55CM THROMBECTOMY SYSTEMS DTK CORDIS EUROPA, N.V. NA R0103052

    Patients

    Seq Age Sex Outcome Treatment
    1 64 YR Death