FDA Adverse Event Other Summary report: N

UNK

MDR report key: 477390 · Received August 6, 2003

Report

Report Number
2021898-2003-00111
Event Type
Other
Date Received
August 6, 2003
Report Date
July 8, 2003
Manufacturer
MEDTRONIC NEUROSURGERY
Product Code
JXG
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
EG
Reporter Occupation
INVALID DATA

Narratives

Description of Event or Problem · 1

THE SURGEON REPORTED THAT THE PRODUCT WAS NOT WORKING PREOPERATIVELY. NO FURTHER INFO IS AVAILABLE AT THIS TIME.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNK CENTRAL NERVOUS SYSTEM FLUID SHUNTS AND COMPONENTS JXG MEDTRONIC NEUROSURGERY * *

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN