FDA Adverse Event Injury Summary report: N

CAMINO ICP MONITORING CATHETER W/INTEGRATED LIC

MDR report key: 3954674 · Received July 18, 2014

Report

Report Number
2023988-2014-00031
Event Type
Injury
Date Received
July 18, 2014
Date of Event
June 6, 2014
Report Date
June 26, 2014
Manufacturer
INTEGRA NEUROSCIENCES CA/USA
Product Code
GWM
PMA / PMN Number
K102875
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IS
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

IT IS UNKNOWN IF THE DEVICE INVOLVED IN THE REPORTED INCIDENT IS EXPECTED TO BE RETURNED FOR EVALUATION. AN INVESTIGATION HAS BEEN INITIATED BASED UPON THE REPORTED INFORMATION.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING THE SURGERY, THE CATHETER INDICATED UNUSUAL VALUES VIA THE MONITOR (UP TO 90 INTRACRANIAL PRESSURE (ICP). ADDITIONAL INFORMATION WAS RECEIVED ON (B)(6) 2014 FROM THE CUSTOMER WITH THE FOLLOWING A (B)(6) YEAR OLD MALE PATIENT HAD AN UNDERLYING CONDITION OF TRAUMATIC BRAIN INJURY (TBI). DATE OF THE EVENT WAS ON (B)(6) 2014. THE DEVICE WAS IN CONTACT WITH THE PATIENT. THERE WAS NO PATIENT INJURY AND THE EVENT DID NOT LEAD TO AN INCREASE IN SURGERY TIME. THE MEDICAL STAFF REMOVED THE CATHETER AND REPLACED IT. THE NEW CATHETER WAS WORKING. ADDITIONAL INFORMATION HAS BEEN REQUESTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
423117 CAMINO ICP MONITORING CATHETER W/INTEGRATED LIC NA GWM INTEGRA NEUROSCIENCES CA/USA

Patients

Seq Age Sex Outcome Treatment
1 48 YR Required Intervention