BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ABBOTT

    MDR report key: 7070625 · Received November 21, 2017

    Report

    Report Number
    7070625
    Event Type
    Injury
    Date Received
    November 21, 2017
    Date of Event
    October 26, 2017
    Report Date
    November 7, 2017
    Manufacturer
    ABBOTT LABORATORIES
    Product Code
    DQX
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    LA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    WHILE THE PHYSICIANS WERE PULLING THE CORONARY WIRE OUT IN A POST STENT PLACEMENT ON (B)(6) 2017, THE WIRE BROKE AND REMAINED IN THE AORTA. THE PHYSICIANS WERE ABLE TO SNARE THE WIRE AND REMOVED SOME OF IT. ON (B)(6) 2017 THE REMAINING WIRE WAS REMOVED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    831046 ABBOTT BMWCJ DQX ABBOTT LABORATORIES NONE 70822271

    Patients

    Seq Age Sex Outcome Treatment
    1 63 YR Hospitalization| R