BEUDAMED
    FDA Adverse Event Other Summary report: N

    CSF-FLOW CONTROL VALVE, CONTOURED REGULAR, MEDIUM

    MDR report key: 490868 · Received October 16, 2003

    Report

    Report Number
    2021898-2003-00151
    Event Type
    Other
    Date Received
    October 16, 2003
    Report Date
    September 18, 2003
    Manufacturer
    MEDTRONIC NEUROSURGERY
    Product Code
    JXG
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MO, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE VALVE DID NOT PASS THE PREIMPLANTATION TEST.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CSF-FLOW CONTROL VALVE, CONTOURED REGULAR, MEDIUM CENTRAL NERVOUS SYSTEM FLUID SHUNTS AND COMPONENTS JXG MEDTRONIC NEUROSURGERY * A31827

    Patients

    Seq Age Sex Outcome Treatment
    1 NA