FDA Adverse Event Malfunction Summary report: N

UNKNOWN STRATA VALVE

MDR report key: 3040322 · Received April 3, 2013

Report

Report Number
2021898-2013-00121
Event Type
Malfunction
Date Received
April 3, 2013
Date of Event
February 1, 2011
Report Date
March 8, 2013
Manufacturer
MEDTRONIC NEUROSURGERY
Product Code
JXG
Report Source
Manufacturer report
Reporter Location
IN, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE REPORT CAME FROM THE LITERATURE ARTICLE TITLED, "ANALYSIS OF THE RISK OF SHUNT FAILURE OR INFECTION RELATED TO CEREBROSPINAL FLUID CELL COUNT, PROTEIN LEVEL, AND GLUCOSE LEVELS IN LOW-BIRTH-WEIGHT, PREMATURE INFANTS WITH POSTHEMORRHAGIC HYDROCEPHALUS," PUBLISHED IN THE JOURNAL OF NEUROSURGERY: PEDIATRICS 7 (2011) 147-151. CONTACT WITH THE CORRESPONDING AUTHOR HAS BEEN UNSUCCESSFUL IN YIELDING ADDITIONAL INFO. THE EVENTS REPORTED IN THE SOURCE LITERATURE COULD NOT BE MATCHED TO INFO PREVIOUSLY REPORTED TO MEDTRONIC NEUROSURGERY. THE PRODUCT WAS NOT RETURNED. THEREFORE, AN EVAL OF THE DEVICE PERFORMANCE WAS NOT POSSIBLE. A REVIEW OF THE MFG RECORDS WAS ALSO NOT POSSIBLE, AS A LOT NUMBER WAS NOT PROVIDED. ALL VALVES ARE 100% TESTED AT THE TIME OF MFR.

Description of Event or Problem · 1

IT WAS DISCOVERED IN A LITERATURE REVIEW BY MEDTRONIC NEUROSURGERY THAT A STRATA VALVE HAD ALLEGEDLY MALFUNCTIONED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
136963 UNKNOWN STRATA VALVE JXG - SHUNT, CENTRAL NERVOUS SYSTEM AND COMPONENTS JXG MEDTRONIC NEUROSURGERY UNK

Patients

Seq Age Sex Outcome Treatment
1 7 MO