FDA Adverse Event Death Summary report: N

UNK STRATA VALVE/SHUNT

MDR report key: 3144593 · Received May 31, 2013

Report

Report Number
2021898-2013-00193
Event Type
Death
Date Received
May 31, 2013
Date of Event
April 1, 2013
Report Date
May 2, 2013
Manufacturer
MEDTRONIC NEUROSURGERY
Product Code
JXG
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
BR
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE REPORT CAME FROM THE LITERATURE ARTICLE TITLED "PROGRAMMABLE VALVE REPRESENTS AN EFFICIENT AND SAFE TOOL IN THE TREATMENT OF IDIOPATHIC NORMAL-PRESSURE HYDROCEPHALUS PATIENTS" FROM ARQUIVOS DE NEURO-PSIGUIATRIA VOL 71 NO 4 P 229-236 (2013). THE ARTICLE CONTAINED ONLY LIMITED AND NON-SPECIFIC DEVICE INFORMATION. CONTACT WITH THE CORRESPONDING AUTHOR REVEALED THAT THE VALVE WAS IMPLANTED SOMETIME BETWEEN 2010 AND 2012, AND THAT THE OMPLICATION OCCURRED SOMETIME BETWEEN 2010 AND 2012. THE EXACT DATE OF DEATH IS UNK. THE EVENT REPORTED IN THE SOURCE LITERATURE COULD NOT BE MATCHED TO INFORMATION PREVIOUSLY REPORTED TO MEDTRONIC NEUROSURGERY. THE PRODUCT WAS UNAVAILABLE FOR RETURN. THEREFORE, AN EVAL OF THE DEVICE PERFORMANCE WAS NOT POSSIBLE AS A LOT NUMBER WAS MOT PROVIDED. ALL VALVES ARE 100% TESTED AT THE TIME OF MFR.

Description of Event or Problem · 1

IT WAS DISCOVERED IN THE LITERATURE BY MEDTRONIC NEUROSURGERY THAT A PT DEVELOPED A SUBDURAL HEMATOMA AFTER A STRATA VALVE WAS IMPLANTED IN THEM TO TREAT THEIR IDIOPATHIC HYDROCEPHALUS. THE PT'S HEMATOMA WAS SURGICALLY DRAINED. THE HEMATOMA, HOWEVER, RECURRED AFTER THE FIRST DRAINAGE, WHICH REQUIRED A SECOND DRAINAGE. AFTER THE SECOND DRAINAGE THERE WAS A PROGRESSION TO SUBDURAL EMPYEMA AND THE PT WAS REPORTED TO HAVE DIED FROM SEPTIC SHOCK.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
240611 UNK STRATA VALVE/SHUNT JXG - SHUNT, CENTRAL NERVOUS SYSTEM AND COMPONENTS JXG MEDTRONIC NEUROSURGERY UNK

Patients

Seq Age Sex Outcome Treatment
1 82 YR Death