BEUDAMED
    FDA Adverse Event Other Summary report: N

    STRATA, ADJUSTABLE DELTA VALVE, REGULAR

    MDR report key: 487707 · Received October 1, 2003

    Report

    Report Number
    2021898-2003-00145
    Event Type
    Other
    Date Received
    October 1, 2003
    Date of Event
    September 17, 2003
    Manufacturer
    MEDTRONIC NEUROSURGERY
    Product Code
    JXG
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AR, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    VALVE WAS LEAKING FROM THE DELTA CHAMBER PREOPERATIVELY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 STRATA, ADJUSTABLE DELTA VALVE, REGULAR CENTRAL NERVOUS SYSTEM FLUID SHUNTS AND COMPONENTS JXG MEDTRONIC NEUROSURGERY * A27811

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN
    2
    3
    4
    5