BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SORIN HT3 HCD STOCKER

    MDR report key: 5986532 · Received September 27, 2016

    Report

    Report Number
    MW5065079
    Event Type
    Injury
    Date Received
    September 27, 2016
    Date of Event
    June 4, 2012
    Report Date
    September 27, 2016
    Manufacturer
    SORIN
    Product Code
    DWC
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    IA, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    PATIENT UNDERWENT RESECTION OF ASCENDING AORTIC ANEURYSM WITH GRAFT PLACEMENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    631863 SORIN HT3 HCD STOCKER TEMPERATURE CONTROLLER DWC SORIN

    Patients

    Seq Age Sex Outcome Treatment
    1 62 YR Other