FDA Adverse Event Other Summary report: N

STRATA ADJUSTABLE DELTA VALVE, REG

MDR report key: 442284 · Received February 4, 2003

Report

Report Number
2021898-2003-00009
Event Type
Other
Date Received
February 4, 2003
Report Date
January 23, 2003
Manufacturer
MEDTRONIC NEUROSURGERY
Product Code
JXG
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AL, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

DESCRIBE EVENT OR PROBLEM: DAMAGED.

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