FDA Adverse Event Malfunction Summary report: N

EDS3 CLEAR VENT CATH

MDR report key: 21432801 · Received February 21, 2025

Report

Report Number
3013886523-2025-00041
Event Type
Malfunction
Date Received
February 21, 2025
Date of Event
January 29, 2025
Report Date
April 11, 2025
Manufacturer
INTEGRA LIFESCIENCES MANSFIELD
Product Code
JXG
PMA / PMN Number
K061568
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

THE EDS3 WAS RETURNED FOR EVALUATION: DHR - LOT 7408807, CONFORMED TO THE SPECIFICATIONS WHEN RELEASED TO STOCK . FAILURE ANALYSIS - THE CONNECTOR WAS VISUALLY INSPECTED, BIOLOGICAL DEBRIS WERE NOTED ON THE CONNECTOR AND CRACK AT THE LINK BETWEEN THE EVD CATHETER AND KIT TO COLLECT CSG WAS NOTED. THE COMPLAINT WAS CONFIRMED. ROOT CAUSE - THE POSSIBLE ROOT CAUSE FOR THE ISSUE REPORTED BY THE CUSTOMER, COULD BE DUE TO IMPROPER HANDLING OF THE DEVICE IN VIEW OF THE CRACK MARKS ON THE DEVICE.

Additional Manufacturer Narrative · 0

AN INVESTIGATION HAS BEEN INITIATED BASED ON THE REPORTED INFORMATION. UPON COMPLETION OF THE INVESTIGATION, A FOLLOW-UP REPORT WILL BE SUBMITTED.

Description of Event or Problem · 0

N/A.

Description of Event or Problem · 0

A FACILITY REPORTED A EDS3 VENTRICULAR CATHETER (ID: 821735) WITH A CRACK LOCATED AT THE LINK BETWEEN THE EVD CATHETER AND THE KIT TO COLLECT CSF, RESULTING IN CSF LEAK. THE CATHETER WAS REPLACED; HOWEVER, IT IS UNKNOWN IF THE SYSTEM WAS TOTALLY OR PARTIALLY REPLACED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1634444 EDS3 CLEAR VENT CATH STANDARD EVD CATHETERS JXG INTEGRA LIFESCIENCES MANSFIELD 7408807

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown