BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HAKIM PROGRAMMABLE VALVE

    MDR report key: 317825 · Received February 28, 2001

    Report

    Report Number
    1226348-2001-00039
    Event Type
    Injury
    Date Received
    February 28, 2001
    Report Date
    February 28, 2001
    Manufacturer
    CODMAN & SHURTLEFF, INC.
    Product Code
    JXG
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT VALVE WAS EXPLANTED BECAUSE OF SIPHONING CONDITION. NO OTHER EVENT OR PT INFO AVAILABLE AT THIS TIME.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    8409 HAKIM PROGRAMMABLE VALVE CNS SHUNT JXG CODMAN & SHURTLEFF, INC. NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Required Intervention