BEUDAMED
    FDA Adverse Event Other Summary report: N

    PHOENIX DIAMOND II VALVE KIT

    MDR report key: 313416 · Received January 22, 2001

    Report

    Report Number
    2518608-2001-00001
    Event Type
    Other
    Date Received
    January 22, 2001
    Date of Event
    January 1, 2000
    Report Date
    January 19, 2001
    Manufacturer
    PHOENIX BIOMEDICAL CORP
    Product Code
    JXG
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    UK
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE DETAILS OF THE EVENT ARE SKETCHY AND NOBODY IN THE HOSPITAL WAS VERY HELPFUL IN PROVIDING MORE INFORMATION. "THE SHUNT WAS REMOVED DUE TO DECREASING CONSCIOUS STATE OF THE PT."

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2641 PHOENIX DIAMOND II VALVE KIT HYDROCEPHALUS SHUNT JXG PHOENIX BIOMEDICAL CORP NA C21

    Patients

    Seq Age Sex Outcome Treatment
    1 68 YR Other