MAUDE Adverse Event Report:; UTERINE ARTERY EMOLIZATION

; UTERINE ARTERY EMOLIZATION

Device Problem Insufficient Information (3190)

Patient Problems Fever (1858); Unspecified Infection (1930); Pain (1994); Thrombus (2101)

Event Date 04/25/2012

Event Type Injury

Event Description

Chronic pain in both legs and both arms.Clots at puncture site.Severe pain since uae, infection, and intermittent fever.

1 Device was Involved in the Event
Type of Device	UTERINE ARTERY EMOLIZATION
MDR Report Key	3805731
MDR Text Key	4387396
Report Number	MW5036001
Device Sequence Number	1
Product Code	NAJ
Reporter Country Code	US
Number of Events Reported	1
Summary Report (Y/N)	N
Report Source	Voluntary
Reporter Occupation	Other Health Care Professional
Type of Report	Initial
Report Date	05/05/2014
1 Patient was Involved in the Event
Date FDA Received	05/06/2014
Is this an Adverse Event Report?	Yes
Is this a Product Problem Report?	No
Device Operator	Health Professional
Is the Reporter a Health Professional?	Yes
Patient Sequence Number	1
Patient Outcome(s)	Other;