BEUDAMED
    FDA Adverse Event Other Summary report: N

    MEDTRONIC SOFAMOR DANEK

    MDR report key: 538802 · Received August 12, 2004

    Report

    Report Number
    538802
    Event Type
    Other
    Date Received
    August 12, 2004
    Report Date
    August 12, 2004
    Manufacturer
    MEDTRONICS
    Product Code
    JXG
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    FL, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    NORMAL PRESSURE HYDROCEPHALUS SHUNT MALFUNCTION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MEDTRONIC SOFAMOR DANEK SNAP SHUNT CATH STD 6CM JXG MEDTRONICS * 41406
    2 MEDTRONIC SOFAMOR DANEK VALVE STRATA JXG MEDTRONICS * 27605

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other