BEUDAMED
    FDA Adverse Event Other Summary report: N

    NOVOSTE

    MDR report key: 546805 · Received September 27, 2004

    Report

    Report Number
    546805
    Event Type
    Other
    Date Received
    September 27, 2004
    Date of Event
    September 23, 2004
    Report Date
    September 27, 2004
    Manufacturer
    NOVOSTE CORP.
    Product Code
    MOU
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    NY, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    DURING EXTRACTION, SEEDS GOT STUCK IN DELIVERY SYSTEM. ENTIRE SYSTEM REMOVED FROM PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NOVOSTE NOVOSTE BETA CATH DELIVERY SYSTEM MOU NOVOSTE CORP. * 712650

    Patients

    Seq Age Sex Outcome Treatment
    1 79 YR Other