FDA Adverse Event Injury Summary report: N

STRATA 2 VALVE, REGULAR

MDR report key: 2030902 · Received March 21, 2011

Report

Report Number
2021898-2011-00061
Event Type
Injury
Date Received
March 21, 2011
Date of Event
February 2, 2011
Report Date
February 20, 2011
Manufacturer
MEDTRONIC NEUROSURGERY
Product Code
JXG
PMA / PMN Number
K042465
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

(B)(4). THE FIRST VALVE WAS EXPLANTED, BUT IS UNAVAILABLE FOR RETURN. THEREFORE, AN EVAL OF THE DEVICE PERFORMANCE WAS NOT POSSIBLE. A REVIEW OF THE MFG RECORDS WAS NOT POSSIBLE AS NO LOT NUMBER WAS PROVIDED. ALL OF OUR VALVES ARE 100% TESTED AT THE TIME OF MANUFACTURE. STRATA PRODUCTS ARE DESIGNED TO BE ADJUSTED BY A STRONG MAGNET. INADVERTENT ADJUSTMENTS BY EXTERNAL MAGNETS ARE A KNOWN COMPLICATION WITH ADJUSTABLE VALVES. WHILE IT IS IMPOSSIBLE TO QUANTIFY ALL THE VARIOUS MAGNETIC FIELDS IN OUR ENVIRONMENT, THE VAST MAJORITY WILL NOT IMPACT THE VALVE AS LONG AS DISTANCE FROM THE VALVE IMPLANT IS MAINTAINED.

Description of Event or Problem · 1

IT WAS REPORTED TO MEDTRONIC NEUROSURGERY THAT A PATIENT HAS INTRACRANIAL HYPERTENSION AND HAD A STRATA II SHUNT IMPLANTED. THE STRATA II SHUNT WAS REPLACED BECAUSE IT ALLEGEDLY FREQUENTLY RESET ITSELF.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 STRATA 2 VALVE, REGULAR JXP JXG MEDTRONIC NEUROSURGERY NA UNK

Patients

Seq Age Sex Outcome Treatment
1 UNK Hospitalization| R