BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MULTI LINK MINI VISION/ CORONARY STENT SYSTEM

    MDR report key: 973651 · Received December 28, 2007

    Report

    Report Number
    MW5004833
    Event Type
    Injury
    Date Received
    December 28, 2007
    Date of Event
    December 27, 2007
    Report Date
    December 28, 2007
    Manufacturer
    ABBOTT VASCULAR
    Product Code
    MAF
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MO, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    DURING CASE, DR ATTEMPTED TO CROSS A LESION WITH THE 2.25X12 MINI VISION UNSUCCESSFUL AND REMOVED THE STENT FROM THE PT'S BODY INTACT. STENT WAS VISUALIZED AND FOUND TO BE FRAYED AT THE END. DID SUCCESSFULLY PLACE A MINIVISION 2.25X8. IN 2007 01:42 PM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MULTI LINK MINI VISION/ CORONARY STENT SYSTEM CARDIOVASCULAR PRODUCTS MAF ABBOTT VASCULAR 7090731

    Patients

    Seq Age Sex Outcome Treatment
    1 50 YR Required Intervention