BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SYNTEL EMBOLECTOMY CATHETER 5F 80CM

    MDR report key: 702047 · Received April 20, 2006

    Report

    Report Number
    2027111-2006-00010
    Event Type
    Injury
    Date Received
    April 20, 2006
    Date of Event
    March 25, 2006
    Report Date
    April 20, 2006
    Manufacturer
    APPLIED MEDICAL RESOURCES CORP.
    Product Code
    DXE
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    "SURGEON USING SYNTAL CATHETER IN LEFT LEG TIP OF CATHETER BROKE OFF INSIDE ARTERY THAT THEY WER BYPASSING." ORIGINAL CUSTOMER EXPERIENCE REPORT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SYNTEL EMBOLECTOMY CATHETER 5F 80CM EMBOLECTOMY CATHETER DXE APPLIED MEDICAL RESOURCES CORP. A4F06 UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Hospitalization