FDA Adverse Event
Other
Summary report: N
PHOENIX DIAMOND II VALVE
MDR report key: 291120
·
Received August 16, 2000
Report
- Report Number
- 2518608-2000-00002
- Event Type
- Other
- Date Received
- August 16, 2000
- Report Date
- August 15, 2000
- Manufacturer
- PHOENIX BIOMEDICAL CORP
- Product Code
- JXG
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PA, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
DIAMOND II VALVE WAS IMPLANTED, IT WAS LATER EXPLANTED FOR CAUSES UNKNOWN TO MFR. IMPLANT AND EXPLANT DATES ARE UNKNOWN TO MFR. VALVE WAS RETURNED TO MFR FOR EVAL.
Description of Event or Problem · 1
DIAMOND II VALVE WAS IMPLANTED, IT WAS LATER EXPLANTED FOR CAUSES UNKNOWN TO MFR. IMPLANT AND EXPLANT DATES ARE UNKNOWN TO MFR. VALVE WAS RETURNED TO MFR FOR EVAL.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | PHOENIX DIAMOND II VALVE | HYDROCEPHALIC SHUNT VALVE | JXG | PHOENIX BIOMEDICAL CORP | NA | C09 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | * | Other |