BEUDAMED
    FDA Adverse Event Death Summary report: N

    CODMAN CERTAS ADJUSTABLE BRAIN SHUNT

    MDR report key: 10579502 · Received September 23, 2020

    Report

    Report Number
    MW5096826
    Event Type
    Death
    Date Received
    September 23, 2020
    Date of Event
    August 16, 2020
    Report Date
    September 22, 2020
    Manufacturer
    INTEGRA LIFESCIENCES CORPORATION
    Product Code
    JXG
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    PATIENT FAMILY MEMBER OR FRIEND

    Narratives

    Description of Event or Problem · 1

    MY CHILD'S BRAIN SWELLED FOR TWO YEARS AND I INSISTED IT WAS HIS BRAIN SHUNT. THE DOCTORS KEPT SHUTTING ME DOWN. LONG BEHOLD IT KILLED HIM. FDA SAFETY REPORT ID# (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1041491 CODMAN CERTAS ADJUSTABLE BRAIN SHUNT SHUNT, CENTRAL NERVOUS SYSTEM AND COMPONENTS JXG INTEGRA LIFESCIENCES CORPORATION

    Patients

    Seq Age Sex Outcome Treatment
    1 21 YR Death