BEUDAMED
    FDA Adverse Event Injury Summary report: N

    EASYTRAK WHISPER MS-J GUIDE WIRE

    MDR report key: 848771 · Received May 10, 2007

    Report

    Report Number
    2124215-2007-21565
    Event Type
    Injury
    Date Received
    May 10, 2007
    Date of Event
    January 31, 2007
    Report Date
    January 31, 2007
    Manufacturer
    CARDIAC PACEMAKERS
    Product Code
    NIK
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MN, US
    Reporter Occupation
    LAY USER/PATIENT

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 EASYTRAK WHISPER MS-J GUIDE WIRE GUIDE WIRE NIK CARDIAC PACEMAKERS 6738 6111152

    Patients

    Seq Age Sex Outcome Treatment
    1 YR Required Intervention