BEUDAMED
    FDA Adverse Event Other Summary report: N

    INTRATHECAL CATHETER

    MDR report key: 5004669 · Received August 14, 2015

    Report

    Report Number
    2182207-2004-00293
    Event Type
    Other
    Date Received
    August 14, 2015
    Report Date
    September 24, 2024
    Manufacturer
    MEDTRONIC NEUROMODULATION
    Product Code
    LKK
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IL, US
    Reporter Occupation
    PHYSICIAN
    Health Professional
    Yes

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    540783 INTRATHECAL CATHETER PUMP, INFUSION, IMPLANTED, PROGRAMMABLE LKK MEDTRONIC NEUROMODULATION 8731 B0022297N66

    Patients

    Seq Age Sex Outcome Treatment
    1 44 YR Female Required Intervention "SEE H10...."| EXPLANTED: UNK.| IMPLANTED.| PUMP: MODEL 862718, LOT# NGF040121R.