FDA Adverse Event Malfunction Summary report: N

VENTRICULAR CATHETER, STANDARD, BIOGLIDE

MDR report key: 1011384 · Received March 11, 2008

Report

Report Number
2021898-2008-00062
Event Type
Malfunction
Date Received
March 11, 2008
Date of Event
February 6, 2008
Report Date
February 12, 2008
Manufacturer
MEDTRONIC NEUROSURGERY
Product Code
JXG
PMA / PMN Number
K951258
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE IS CURRENTLY UNDER EVALUATION.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE TIP OF THE CATHETER WAS BROKEN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 VENTRICULAR CATHETER, STANDARD, BIOGLIDE 84JXG JXG MEDTRONIC NEUROSURGERY NA C08462

Patients

Seq Age Sex Outcome Treatment
1