FDA Adverse Event Other Summary report: N

HAMILTON VENTRICULAR DRAINAGE ANTIMICROBIAL CATHETER

MDR report key: 516438 · Received March 18, 2004

Report

Report Number
1820334-2004-00163
Event Type
Other
Date Received
March 18, 2004
Date of Event
September 26, 2003
Report Date
February 20, 2004
Manufacturer
COOK, INC.
Product Code
NHC
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
AZ, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

THE PT PRESENTED WITH ANEURYSMAL SAH IN 2003 (CT-1) AND UNDERWENT COILING OF A LEFT PCOMM ANEUYRYSM. A CATHETER WAS PLACED ON FOR EVIDENCE OF HYDROCEPHALUS. A SCAN IN 10/2003 DEMONSTRATES THE CATHETER IN GOOD POSITION(CT-2). THE CATHETER WAS REMOVED THE NEXT DAY. A FOLLOW-UP CT SCAN PERFORMED THE FOLLOWING DAY REVEALS A FOCAL AREA OF HIGH DENSITY ADJACENT TO THE RIGHT FRONTAL HORN THAT APPEARS TO BE THE DISTAL TIP OF THE CATHETER OR A RADIO-OPAQUE MARKER (CT-3). A REPEAT CT SCAN PERFORMED TWO DAYS LATER DEMONSTRATES PERSISTENCE OF THIS AREA OF HIGH-SIGNAL INTENSITY (CT-4). THIS WAS THE FIRST CATHETER PLACED IN THIS PT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 HAMILTON VENTRICULAR DRAINAGE ANTIMICROBIAL CATHETER VENTRICULAR CATHETER NHC COOK, INC. NA UNK

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Other