BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    NANO COILS TARGET

    MDR report key: 6760466 · Received July 31, 2017

    Report

    Report Number
    MW5071338
    Event Type
    Malfunction
    Date Received
    July 31, 2017
    Date of Event
    January 23, 2017
    Report Date
    July 31, 2017
    Manufacturer
    STRYKER
    Product Code
    HCG
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    WA, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    CEREBRAL ANEURYSM COILING FOR SAH; COIL WOULD NOT DEPLOY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    535548 NANO COILS TARGET DEVICE, NEUROVASCULAR EMBOLIZATION HCG STRYKER 544204 19329086

    Patients

    Seq Age Sex Outcome Treatment
    1 53 YR Other