BEUDAMED
    FDA Adverse Event Other Summary report: N

    J-TIP STEERABLE GUIDEWIRE/MEDTRONIC AVE LIGHT SUPPORT

    MDR report key: 679821 · Received January 25, 2006

    Report

    Report Number
    679821
    Event Type
    Other
    Date Received
    January 25, 2006
    Date of Event
    December 31, 2005
    Report Date
    January 25, 2006
    Manufacturer
    MEDTRONIC VASCULAR
    Product Code
    DQX
    Report Source
    User Facility report
    Reporter Location
    PA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    DURING EMERGENT CARDIAC CATHETERIZATION AND PTCA (PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY), THE TIP OF THE FLOPPY GUIDEWIRE BROKE OFF INTO THE DIAGONAL CORONARY ARTERY. THERE WAS NO PATIENT INJURY ASSESSED ON FOLLOW-UP.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 J-TIP STEERABLE GUIDEWIRE/MEDTRONIC AVE LIGHT SUPPORT GUIDEWIRE CATHETER DQX MEDTRONIC VASCULAR LSPTLJ300 0000129686

    Patients

    Seq Age Sex Outcome Treatment
    1 65 YR