BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CSF-FLOW CONTROL VALVE, BURR HOLE, 12MM, MEDIUM PR

    MDR report key: 1200067 · Received October 15, 2008

    Report

    Report Number
    2021898-2008-00238
    Event Type
    Malfunction
    Date Received
    October 15, 2008
    Date of Event
    September 17, 2008
    Report Date
    September 15, 2008
    Manufacturer
    MEDTRONIC NEUROSURGERY
    Product Code
    JXG
    PMA / PMN Number
    K831678
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    UK
    Reporter Occupation
    PHYSICIAN

    Narratives

    Additional Manufacturer Narrative · 1

    THE DEVICE HAS NOT YET BEEN RETURNED TO THE MANUFACTURER.

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE VALVE WAS NOT WORKING PROPERLY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CSF-FLOW CONTROL VALVE, BURR HOLE, 12MM, MEDIUM PR 84JXG JXG MEDTRONIC NEUROSURGERY NA C25593

    Patients

    Seq Age Sex Outcome Treatment
    1