BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HAKIM VALVE

    MDR report key: 297149 · Received September 20, 2000

    Report

    Report Number
    9612007-2000-00037
    Event Type
    Injury
    Date Received
    September 20, 2000
    Date of Event
    June 29, 2000
    Report Date
    September 18, 2000
    Manufacturer
    NMT NEUROSCIENCES IMPLANTS S.A.
    Product Code
    JXG
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NZ
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    POST IMPLANTATION, PT EXPERIENCED HEADACHES, NAUSEA AND VOMITING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HAKIM VALVE HYDROCEPHALUS VALVE JXG NMT NEUROSCIENCES IMPLANTS S.A. NA 104195

    Patients

    Seq Age Sex Outcome Treatment
    1 50 YR Required Intervention