BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MEDTRONIC SYNCHROMED PUMP

    MDR report key: 254857 · Received December 15, 1999

    Report

    Report Number
    254857
    Event Type
    Injury
    Date Received
    December 15, 1999
    Date of Event
    October 23, 1999
    Report Date
    October 25, 1999
    Manufacturer
    MEDTRONIC INC./NEUROLOGICAL DIV.
    Product Code
    LKK
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    10/23/1999 IS THIRD ADMISSION WITH DIAGNOSIS OF MENINGITIS IN LAST TWO MONTHS. PT HAD REMOVAL OF INTRATHECAL SPINAL CATHETER AND PUMP. STARTED ON IV VANCOMYCIN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MEDTRONIC SYNCHROMED PUMP Implant INFUSION PUMP LKK MEDTRONIC INC./NEUROLOGICAL DIV. 8617-18 A6346151
    2 MEDTRONIC INDURA CATHETER Implant INTRATHECAL CATHETER LKK MEDTRONIC INC./NEUROLOGICAL DIV 8703 W L41532

    Patients

    Seq Age Sex Outcome Treatment
    1 43 YR Hospitalization| R DISCOGRAPHY