FDA Adverse Event
Injury
Summary report: N
CODMAN
MDR report key: 19557126
·
Received June 18, 2024
Report
- Report Number
- 19557126
- Event Type
- Injury
- Date Received
- June 18, 2024
- Date of Event
- May 15, 2024
- Report Date
- May 29, 2024
- Manufacturer
- INTEGRA LIFESCIENCES PRODUCTION CORPORATION
- Product Code
- OJG
- UDI-DI
- 10381780520375
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- VA
- Reporter Occupation
- NURSE
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
CAP BREAKAGE FROM EVD (EXTERNAL VENTRICULAR DRAINAGE) SYSTEM RESULTING IN PNEUMOCEPHALUS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2322190 | CODMAN | NEUROLOGICAL TRAY | OJG | INTEGRA LIFESCIENCES PRODUCTION CORPORATION | 826614 | 10381780520375 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Required Intervention| H |