BEUDAMED
    FDA Adverse Event Other Summary report: N

    SOPHY ADJUSTABLE PRESSURE VALVE SHUNT

    MDR report key: 503631 · Received December 3, 2003

    Report

    Report Number
    3001587388-2003-00022
    Event Type
    Other
    Date Received
    December 3, 2003
    Date of Event
    June 17, 2003
    Report Date
    December 3, 2003
    Manufacturer
    SOPHYSA SA
    Product Code
    JXG
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    JA
    Reporter Occupation
    PHYSICIAN

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SOPHY ADJUSTABLE PRESSURE VALVE SHUNT SHUNT, CENTRAL NERVOUS SYSTEM & COMPONENTS JXG SOPHYSA SA * M0365

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN