FDA Adverse Event
Injury
Summary report: N
466P306X
MDR report key: 6676993
·
Received June 29, 2017
Report
- Report Number
- 1016427-2017-00416
- Event Type
- Injury
- Date Received
- June 29, 2017
- Date of Event
- January 1, 2017
- Report Date
- June 29, 2017
- Manufacturer
- CORDIS CASHEL
- Product Code
- DQO
- PMA / PMN Number
- K020316
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- OH, US
- Reporter Occupation
- PHYSICIAN
Narratives
Description of Event or Problem · 1
AS NOTED IN THE PUBLICATION BY NAZZAL ET AL, COMPLICATIONS RELATED TO INFERIOR VENA CAVA FILTERS: A SINGLE-CENTER EXPERIENCE, ANN VASC SURG (2010), 24(4): 480-486; THERE WERE 2 EVENTS OF POST-INSERTION PULMONARY EMBOLISM (PE) FOR THE TRAPEASE ARM OF THE STUDY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 457340 | 466P306X | CATHETER, INTRAVASCULAR, DIAGNOSTIC | DQO | CORDIS CASHEL | 466P306X | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Life Threatening |