BEUDAMED
    FDA Adverse Event Injury Summary report: N

    WINGSPAM STENT SYSTEM

    MDR report key: 696752 · Received April 5, 2006

    Report

    Report Number
    6000078-2006-00093
    Event Type
    Injury
    Date Received
    April 5, 2006
    Date of Event
    January 20, 2006
    Report Date
    April 3, 2006
    Manufacturer
    BOSTON SCIENTIFIC CORP, NEUROVASCULAR
    Product Code
    NIO
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OR, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    BOSTON SCIENTIFIC CORP BECAME AWARE THAT THE PT UNDERWENT SUCCESSFUL TREATMENT OF A VERTEBRAL ARTERY ANEURYSM 2006. A FEW DAYS LATER THE PT DEVEOPED HEMORHAGE (STROKE) OF THE LEFT FRONTAL LOBE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 WINGSPAM STENT SYSTEM INTRAVASCULAR STENT NIO BOSTON SCIENTIFIC CORP, NEUROVASCULAR * 7987652

    Patients

    Seq Age Sex Outcome Treatment
    1 * Death