BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MEDTRONIC EDM LUMBAR CATHETER, CLOSED TIP, BARIUM IMPREGNATED, 80

    MDR report key: 2140517 · Received June 21, 2011

    Report

    Report Number
    MW5021107
    Event Type
    Injury
    Date Received
    June 21, 2011
    Date of Event
    May 19, 2011
    Report Date
    June 21, 2011
    Manufacturer
    MEDTRONIC, INC.
    Product Code
    JXG
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NY, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    MEDTRONIC EDM LUMBAR CATHETER RETAINED IN LUMBAR SPACE APPROXIMATELY 4 INCHES. DIAGNOSIS OR REASON FOR USE: THORACIC ANEURYSM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MEDTRONIC EDM LUMBAR CATHETER, CLOSED TIP, BARIUM IMPREGNATED, 80 MEDTRONIC EDM LUMBAR CATHETER, CLOSED TIP, BARIUM JXG MEDTRONIC, INC. 46419 C82560

    Patients

    Seq Age Sex Outcome Treatment
    1 42 YR Disability