BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CSF-CATHETER CONNECTOR, 3-WAY

    MDR report key: 187225 · Received August 14, 1998

    Report

    Report Number
    2021898-1998-00093
    Event Type
    Injury
    Date Received
    August 14, 1998
    Report Date
    August 14, 1998
    Manufacturer
    MEDTRONIC PS MEDICAL
    Product Code
    JXG
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TN, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    REVISED DUE TO FRACTURE OF THE FLEXIBLE CONNECTOR (MFR REPORT #2021898-1998-00094 ALSO).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CSF-CATHETER CONNECTOR, 3-WAY Implant CENTRAL NERVOUS SYSTEM FLUID SHUNTS AND COMPONENTS JXG MEDTRONIC PS MEDICAL NA L9210

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Required Intervention