FDA Adverse Event Injury Summary report: N

NEUROMONITOR BASIC KIT

MDR report key: 2241778 · Received September 9, 2011

Report

Report Number
1226348-2011-00339
Event Type
Injury
Date Received
September 9, 2011
Date of Event
May 31, 2011
Manufacturer
CODMAN AND SHURTLEFF - MEDOS
Product Code
GWM
PMA / PMN Number
K914479
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
SW
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

IT HAS BEEN COMMUNICATED THAT THE DEVICE AND/OR LOT INFORMATION IS NOT AVAILABLE FOR EVALUATION. WITHOUT THE DEVICE AND/OR LOT INFORMATION IT IS NOT POSSIBLE FOR CODMAN TO CONDUCT A PROPER INVESTIGATION. IF AT SOME POINT THE DEVICE AND/OR LOT INFORMATION DOES BECOME AVAILABLE, THIS COMPLAINT WILL BE RE-OPENED, EVALUATED AND A FOLLOW UP REPORT WILL BE FILED. TRENDS WILL BE MONITORED FOR THIS AND SIMILAR COMPLAINTS. AT THE PRESENT TIME THIS COMPLAINT IS CONSIDERED CLOSED. DEVICE IS NOT AVAILABLE.

Description of Event or Problem · 1

AFFILIATE REPORTED THAT AFTER THE PATIENT HAD BEEN TURNED AND HAD THEIR BED MADE THE HOSPITAL FOUND THE PATIENTS ICP COULD NOT BE MEASURED. UPON FURTHER INSPECTION FROM THE HOSPITAL STAFF IT APPEARED THAT THE WIRE WAS EXPOSED IN ONE AREA AND MELTED IN ANOTHER AREA. PLEASE NOTE THAT THE ALERT DATE AS WELL AS THE EVENT DATE MAY BE IN ACCURATE. MORE INFORMATION IS EXPECTED AND WILL BE REPORTED IN THE FOLLOW UP REPORT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NEUROMONITOR BASIC KIT DEVICE, INTRACRANIAL PRESSURE MONITORING GWM CODMAN AND SHURTLEFF - MEDOS UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention