BEUDAMED
    FDA Adverse Event Other Summary report: N

    STRATA ADJUSTABLE DELTA VALVE, REG

    MDR report key: 441568 · Received January 31, 2003

    Report

    Report Number
    2021898-2003-00008
    Event Type
    Other
    Date Received
    January 31, 2003
    Date of Event
    January 20, 2003
    Report Date
    January 20, 2003
    Manufacturer
    MEDTRONIC NEUROSURGERY
    Product Code
    JXG
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    LA, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    FLOW OCCLUSION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 STRATA ADJUSTABLE DELTA VALVE, REG CENTRAL NERVOUS SYSTEM FLUID SHUNTS AND COMPONENTS JXG MEDTRONIC NEUROSURGERY UNK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other