FDA Adverse Event Injury Summary report: N

EDS3 CLEAR VENT CATH

MDR report key: 17966037 · Received October 19, 2023

Report

Report Number
3013886523-2023-00357
Event Type
Injury
Date Received
October 19, 2023
Date of Event
September 28, 2023
Report Date
February 21, 2024
Manufacturer
INTEGRA LIFESCIENCES MANSFIELD
Product Code
JXG
PMA / PMN Number
K061568
Report Source
Manufacturer report
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

AN INVESTIGATION HAS BEEN INITIATED BASED ON THE REPORTED INFORMATION. UPON COMPLETION OF THE INVESTIGATION, A FOLLOW-UP REPORT WILL BE SUBMITTED.

Additional Manufacturer Narrative · 0

THE EDS3 CLEAR VENTRICULAR CATHETER (ID 821735) WAS NOT RETURNED FOR EVALUATION AND LOT NUMBER INFORMATION HAS NOT BEEN PROVIDED; THEREFORE, AN EVALUATION OF THE DEVICE COULD NOT BE PERFORMED, AND DEVICE HISTORY RECORD (DHR) COULD NOT BE REVIEWED. THE ROOT CAUSE(S) OF THE REPORTED ISSUE COULD NOT BE DETERMINED. IF ADDITIONAL RELEVANT INFORMATION BECOMES AVAILABLE IN THE FUTURE, THIS COMPLAINT WILL BE REOPENED, AND THE RESPECTIVE EVALUATION PERFORMED. TRENDS WILL BE MONITORED FOR THIS AND SIMILAR ISSUES. AT PRESENT, WE CONSIDER THIS COMPLAINT TO BE CLOSED.

Description of Event or Problem · 0

ON SEPTEMBER 28, 2023, A PHONE CALL WAS RECEIVED FROM A PATIENT CARE COORDINATOR WITH COMPLAINT OF EDS3 CLEAR VENTRICULAR CATHETER (ID 821735) HAVE CAUSED INTRACRANIAL HEMORRHAGES IN PATIENTS. MEDICAL STAFF ALSO NOTICED THAT THE STYLET HAS CHANGED FROM A FLEXIBLE CYLINDRICAL SHAPE TO A RIGID, THICK AND SQUARE SHAPE, AND BELIEVED THAT THE CHANGE IN STYLET HAS CAUSED INTRACRANIAL HEMORRHAGES IN PATIENTS. ACCORDING TO INFORMATION PROVIDED, IT IS UNKNOWN IF MEDICAL INTERVENTION WAS REQUIRED, AND IS ALSO UNKNOWN IF THE EVENT LED TO SURGICAL DELAY.

Description of Event or Problem · 0

N/A.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2054770 EDS3 CLEAR VENT CATH STANDARD EVD CATHETERS JXG INTEGRA LIFESCIENCES MANSFIELD

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown