BEUDAMED
    FDA Adverse Event Injury Summary report: N

    STRATA II VALVE, REGULAR

    MDR report key: 2092506 · Received May 3, 2011

    Report

    Report Number
    2021898-2011-00095
    Event Type
    Injury
    Date Received
    May 3, 2011
    Date of Event
    February 27, 2011
    Report Date
    April 4, 2011
    Manufacturer
    MEDTRONIC NEUROSURGERY
    Product Code
    JXG
    PMA / PMN Number
    K042465
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    PHYSICIAN

    Narratives

    Additional Manufacturer Narrative · 1

    THE DEVICE HAS NOT BEEN RETURNED TO THE MFR. A REVIEW OF THE MFG RECORDS SHOWED NO ANOMALIES. NO IMPACT TO THE PT WAS REPORTED. ALL OF OUR VALVES ARE 100% TESTED AT THE TIME OF MFR.

    Description of Event or Problem · 1

    IT WAS REPORTED TO MEDTRONIC NEUROSURGERY THAT IT WAS NOT POSSIBLE TO ADJUST THE VALVE TO ANOTHER PERFORMANCE LEVEL AND A REVISION OF THE DEVICE WAS PERFORMED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 STRATA II VALVE, REGULAR JXG MEDTRONIC NEUROSURGERY C73156

    Patients

    Seq Age Sex Outcome Treatment
    1 Hospitalization| R