FDA Adverse Event
Death
Summary report: N
CYPHER SIROLIMUS-ELUTING CORONARY STENT
MDR report key: 550566
·
Received October 19, 2004
Report
- Report Number
- 3003742446-2004-01039
- Event Type
- Death
- Date Received
- October 19, 2004
- Date of Event
- October 22, 2003
- Report Date
- October 19, 2004
- Manufacturer
- CORDIS LLC (PR)
- Product Code
- NIQ
- Removal / Correction Number
- NA
- Report Source
- Manufacturer report
Narratives
Description of Event or Problem · 1
SAT AND DEATH.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | CYPHER SIROLIMUS-ELUTING CORONARY STENT | DRUG-ELUTING STENT | NIQ | CORDIS LLC (PR) | NA | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | A 3.5X23MM CYPHER STENT. |