BEUDAMED
    FDA Adverse Event Other Summary report: N

    TFE COATED BENTSON WIRE GUIDE

    MDR report key: 534698 · Received January 9, 2004

    Report

    Report Number
    1820334-2004-00025
    Event Type
    Other
    Date Received
    January 9, 2004
    Date of Event
    December 4, 2003
    Report Date
    December 18, 2003
    Manufacturer
    COOK, INC.
    Product Code
    DQX
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    INVALID DATA

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TFE COATED BENTSON WIRE GUIDE WIRE GUIDE DQX COOK, INC. NA 1297161

    Patients

    Seq Age Sex Outcome Treatment
    1 82 YR