FDA Adverse Event Injury Summary report: N

POLARIS® SPV KIT PREATTACHED / BO19-10

MDR report key: 24290899 · Received February 9, 2026

Report

Report Number
3001587388-2026-00009
Event Type
Injury
Date Received
February 9, 2026
Report Date
February 9, 2026
Manufacturer
SOPHYSA
Product Code
JXG
UDI-DI
03760124131277
PMA / PMN Number
K141227
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE INFECTION WAS TRACED TO THE SURGERY PROCEDURE; THE SHUNT HAS BEEN REMOVED BY PRECAUTION. THE ROOT CAUSE OF THE INFECTION IS LINKED TO THE SURGERY PROCEDURE AND THE SHUNT WAS NOT IMPLICATED. ALL THESE INFORMATION HAVE BEEN CONFIRMED BY THE HOSPITAL AND THE INCIDENT WAS CONSIDERED AS PREDICTIBLE. THE INCIDENT HAS NOT BEEN REPORTED BY THE HOSPITAL, SINCE SOPHYSA WAS FOLLOWING THE PROCEDURE FOR CLINICAL INVESTIGATION DIRECTLY AT THE HEALTHCARE FACILITY. THE INCIDENT WAS THEREFORE REPORTED BY THE SOPHYSA TEAM OUT THERE.

Description of Event or Problem · 0

A 5-MONTH OLD BABY HAD AN INFECTION FOLLOWING THE SURGERY AND THE DECISION TO EXPLANT A POLARIS VALVE HAS BEEN TAKEN BY THE NEUROSURGEON, A TEMPORARY EXTERNAL DERIVATION WAS PLACED WHILE AWAITING FOR THE IMPLANTATION OF A NEW SOPHYSA VALVE : POLARIS 24 (SPV24). THIS IMPLANTATION WAS PERFORMED DURING CLINICAL INVESTIGATION AND THE SPV24 VALVE IS NOT YET MARKETED BY SOPHYSA. THE INFECTION WAS TRACED TO SURGERY PROCEDURE, THE SHUNT HAS BEEN REMOVED BY PRECAUTION. ALL THESE INFORMATION HAVE BEEN CONFIRMED BY THE HOSPITAL AND THE INCIDENT WAS CONSIDERED AS PREDICTIBLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
351588 POLARIS® SPV KIT PREATTACHED / BO19-10 POLARIS® SPV KIT PREATTACHED / BO19-10 JXG SOPHYSA SPV-2010 03760124131277

Patients

Seq Age Sex Outcome Treatment
1 5 MO Unknown Other