BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CODMAN EXTERNAL LUMBAR DRAINAGE CATHETER KIT II

    MDR report key: 1153523 · Received September 8, 2008

    Report

    Report Number
    MW5008243
    Event Type
    Injury
    Date Received
    September 8, 2008
    Date of Event
    September 7, 2008
    Report Date
    September 8, 2008
    Manufacturer
    CODMAN & SHURTLEFF
    Product Code
    JXG
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PHYSICIAN PREPARED PT IN USUAL AND PROPER MANNER AND INSERTED LUMBAR NEEDLE FROM KIT. LUMBAR CATHETER WAS THEN INSERTED THROUGH NEEDLE. BECAUSE OF RESISTANCE, PHYSICIAN DISCONTINUED THE CATHETER. UPON WITHDRAWAL, THE CATHETER TIP WAS MISSING. PT TAKEN FOR CT AND THE CATHETER TIP WAS NOTED TO BE RETAINED. PT TAKEN EMERGENTLY TO OR FOR REMOVAL OF CATHETER TIP.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CODMAN EXTERNAL LUMBAR DRAINAGE CATHETER KIT II LUMBAR DRAINAGE KIT JXG CODMAN & SHURTLEFF DA 277

    Patients

    Seq Age Sex Outcome Treatment
    1