BEUDAMED
    FDA Adverse Event Other Summary report: N

    SYNCHROMED

    MDR report key: 557621 · Received November 24, 2004

    Report

    Report Number
    2182207-2004-01577
    Event Type
    Other
    Date Received
    November 24, 2004
    Report Date
    November 16, 2004
    Manufacturer
    MEDTRONIC, INC., NEUROLOGICAL DIV
    Product Code
    LKK
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    THE HCP REPORTED THAT THE PT HAD AN INFECTION DUE TO THE PUMP AND HAD TO INFUSE THE MEDICATION THROUGH A "KAD PUMP".

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SYNCHROMED PUMP LKK MEDTRONIC, INC., NEUROLOGICAL DIV PUMP NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other EXPLANTED: UNK| CATHETER MODEL UNK CATHETER LOT# UNK IMP: UNK