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