BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CSF-SHUNT SNAP ASSEMBLY, BUTTON, MEDIUM PRESSURE

    MDR report key: 117825 · Received September 3, 1997

    Report

    Report Number
    2021898-1997-00062
    Event Type
    Injury
    Date Received
    September 3, 1997
    Report Date
    August 6, 1997
    Manufacturer
    MEDTRONIC PS MEDICAL
    Product Code
    JXG
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IS
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    SNAP SHUNT DISCONNECTED A FEW MONTHS AFTER SURGERY. THE DISCONNECTION WAS ATTRIBUTED TO THE GROWTH OF THE BABY. SHUNT WAS NOT EXPLANTED; WAS RE-SNAPPED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CSF-SHUNT SNAP ASSEMBLY, BUTTON, MEDIUM PRESSURE Implant CENTRAL NERVOUS SYSTEM FLUID SHUNTS AND COMPONENTS JXG MEDTRONIC PS MEDICAL NA DEVICE 1 UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 NO INFO Hospitalization| R