FDA Adverse Event
Injury
Summary report: N
RADIONICS
MDR report key: 213749
·
Received March 8, 1999
Report
- Report Number
- 1219140-1999-00002
- Event Type
- Injury
- Date Received
- March 8, 1999
- Date of Event
- September 14, 1998
- Report Date
- March 4, 1999
- Manufacturer
- RADIONICS, INC.
- Product Code
- JXG
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- BR
- Reporter Occupation
- NO INFORMATION
Narratives
Description of Event or Problem · 1
THE PT, ONE MONTH AFTER THE USE OF RADIONICS MEDIUM PRESSURE SYSTEM, HAS DEVELOPED SUBDURAL BILATERAL HEMATOMA. RADIONICS CONTOUR-FLEX INSTRUCTIONS FOR USE REFERENCES THESE POSSIBLE COMPLICATIONS. REPORTED 01/25/1999 TO RADIONICS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | RADIONICS Implant | CONTOUR-FLEX SHUNT, REGULAR, MEDIUM | JXG | RADIONICS, INC. | 11855 | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 71 YR | Hospitalization| L| R |