BEUDAMED
    FDA Adverse Event Injury Summary report: N

    EASYTRAK WHISPER MS-J GUIDE WIRE

    MDR report key: 848233 · Received May 10, 2007

    Report

    Report Number
    2124215-2007-22119
    Event Type
    Injury
    Date Received
    May 10, 2007
    Date of Event
    February 20, 2007
    Report Date
    February 20, 2007
    Manufacturer
    CARDIAC PACEMAKERS
    Product Code
    NIK
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    PHYSICIAN

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 EASYTRAK WHISPER MS-J GUIDE WIRE GUIDE WIRE NIK CARDIAC PACEMAKERS 6738 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 YR Required Intervention