BEUDAMED
    FDA Adverse Event Other Summary report: N

    VENTRICULAR ACCESS PORT WITH A BOTTOM INLET

    MDR report key: 484250 · Received September 12, 2003

    Report

    Report Number
    2021898-2003-00135
    Event Type
    Other
    Date Received
    September 12, 2003
    Date of Event
    August 1, 2003
    Report Date
    August 14, 2003
    Manufacturer
    MEDTRONIC NEUROSURGERY
    Product Code
    JXG
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE PHYSICIAN WAS UNABLE TO ASPIRATE FROM THE PORT WITH A NEEDLE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VENTRICULAR ACCESS PORT WITH A BOTTOM INLET CENTRAL NERVOUS SYSTEM FLUID SHUNTS AND COMPONENTS JXG MEDTRONIC NEUROSURGERY * U9475

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other