BEUDAMED
    FDA Adverse Event Other Summary report: N

    CORLINK AAD PROXIMAL

    MDR report key: 521797 · Received October 1, 2003

    Report

    Report Number
    3003217124-2003-00005
    Event Type
    Other
    Date Received
    October 1, 2003
    Date of Event
    August 6, 2003
    Report Date
    September 25, 2003
    Manufacturer
    BYPASS MAAKAFIM LTD.
    Product Code
    LNN
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WI, US
    Reporter Occupation
    PHYSICIAN

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CORLINK AAD PROXIMAL ANASTOMOTIC DEVICE LNN BYPASS MAAKAFIM LTD. PROXIMAL SP 205, INP 750

    Patients

    Seq Age Sex Outcome Treatment
    1 73 YR Other