BEUDAMED
    FDA Adverse Event Other Summary report: N

    STRATA, DELTA SNAP SHUNT ASSEMBLY, SMALL

    MDR report key: 475939 · Received July 31, 2003

    Report

    Report Number
    2021898-2003-00110
    Event Type
    Other
    Date Received
    July 31, 2003
    Date of Event
    June 1, 2003
    Report Date
    July 1, 2003
    Manufacturer
    MEDTRONIC NEUROSURGERY
    Product Code
    JXG
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    SW
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT A HOLE WAS FOUND IN THE VALVE PRIOR TO SURGERY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 STRATA, DELTA SNAP SHUNT ASSEMBLY, SMALL CENTRAL NERVOUS SYSTEM FLUID SHUNTS AND COMPONENTS JXG MEDTRONIC NEUROSURGERY * A25086

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN