BEUDAMED
    FDA Adverse Event Other Summary report: N

    PHOENIX CRX VALVE

    MDR report key: 304244 · Received November 6, 2000

    Report

    Report Number
    2518608-2000-00006
    Event Type
    Other
    Date Received
    November 6, 2000
    Report Date
    November 6, 2000
    Manufacturer
    PHOENIX BIOMEDICAL CORP
    Product Code
    JXG
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TU
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    VALVE FLOWED PROPERLY BEFORE IMPLANTATION, THEN AFTER IMPLANTATION IT NO LONGER HAD FLOW. SHUNT REVISED AND PT OK.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PHOENIX CRX VALVE HYDROCEPHALIC SHUNT VALVE JXG PHOENIX BIOMEDICAL CORP NA G005

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other