BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HERMETIC LARGE STYLE VENTRICULAR CATHETER SET

    MDR report key: 375756 · Received February 7, 2002

    Report

    Report Number
    2648988-2002-00002
    Event Type
    Malfunction
    Date Received
    February 7, 2002
    Report Date
    February 6, 2002
    Manufacturer
    HEYER SCHULTE NEUROCARE INC
    Product Code
    JXG
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    THE PHYSICIAN REPORTS HAVING PROBLEM PULLING OUT THE SYLET BECAUSE IT IS STICKING. NO PATIENT INJURY WAS REPORTED. ADDITIONAL INFORMATION HAS BEEN REQUESTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HERMETIC LARGE STYLE VENTRICULAR CATHETER SET VENTRICULOSTOMY & EXTERNAL CSF DRAINAGE JXG HEYER SCHULTE NEUROCARE INC * 1010907

    Patients

    Seq Age Sex Outcome Treatment
    1 * Required Intervention