FDA Adverse Event Death Summary report: N

MULTI-LINK MINI VISION RX CORONARY STENT SYSTEM

MDR report key: 696785 · Received April 5, 2006

Report

Report Number
2024168-2006-00243
Event Type
Death
Date Received
April 5, 2006
Date of Event
April 20, 2005
Report Date
February 24, 2006
Manufacturer
GUIDANT VASCULAR INTERVENTION
Product Code
MAF
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

A PT DEATH IN 2005, DUE TO A MYOCARDIAL INFARCTION (MI). REPORTEDLY, HTE DEATH WAS PROBABLY DEVICE RELATED; HOWEVER, THIS IS BEING CONSERVATIVELY FILED. NO ADDITIONAL INFO WAS AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MULTI-LINK MINI VISION RX CORONARY STENT SYSTEM CORONARY STENT SYSTEM MAF GUIDANT VASCULAR INTERVENTION NA UNK

Patients

Seq Age Sex Outcome Treatment
1 47 YR Death