FDA Adverse Event Malfunction Summary report: N

CODMAN BEVD 1.9MM CAT SET

MDR report key: 24781391 · Received April 3, 2026

Report

Report Number
3013886523-2026-00077
Event Type
Malfunction
Date Received
April 3, 2026
Report Date
May 15, 2026
Manufacturer
INTEGRA LIFESCIENCES MANSFIELD
Product Code
JXG
UDI-DI
10381780518440
PMA / PMN Number
K233448
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER
Health Professional
N

Narratives

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

A FACILITY REPORTED AN EXPIRED BACTISEAL CATHETER (ID: 821749) WAS IMPLANTED. NO ADDITIONAL INFORMATION WAS PROVIDED AFTER SEVERAL ATTEMPTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
63322 CODMAN BEVD 1.9MM CAT SET BACTISEAL JXG INTEGRA LIFESCIENCES MANSFIELD 7511955 10381780518440

Patients

Seq Age Sex Outcome Treatment
1