BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HEAMSHIELD WOVEN DOUBLE VELOUR GRAFT

    MDR report key: 84215 · Received April 14, 1997

    Report

    Report Number
    2242352-1997-00026
    Event Type
    Injury
    Date Received
    April 14, 1997
    Report Date
    March 18, 1997
    Manufacturer
    MEADOX MEDICALS, DIV. BOSTON SCIENTIFIC CORP.
    Product Code
    MAL
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    PT DEVELOPED FEVER AFTER IMPLANTATION OF GRAFT. NOTE: A REQUEST FOR ADD'L INFO WAS SENT TO THE DR ON 3/19/97. NO ADD'L INFO HAS BEEN FORTHCOMING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HEAMSHIELD WOVEN DOUBLE VELOUR GRAFT Implant SEALED VASCULAR GRAFT MAL MEADOX MEDICALS, DIV. BOSTON SCIENTIFIC CORP. 166168 196030

    Patients

    Seq Age Sex Outcome Treatment
    1 NO INFO Other