BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HAKIM VALVE

    MDR report key: 315080 · Received February 7, 2001

    Report

    Report Number
    9612007-2001-00001
    Event Type
    Injury
    Date Received
    February 7, 2001
    Date of Event
    October 27, 2000
    Report Date
    February 6, 2001
    Manufacturer
    NMT NEUROSCIENCES IMPLANTS S.A.
    Product Code
    JXG
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NC, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    VP SHUNT MALFUNCTIONING: ? VALVE PROBLEM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    4675 HAKIM VALVE HYDROCEPHALUS VALVE JXG NMT NEUROSCIENCES IMPLANTS S.A. NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Required Intervention