BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ROHS MICROSENSOR W/SINGLE LUMEN METAL BOLT KIT - 10886704075486

    MDR report key: 5591674 · Received April 20, 2016

    Report

    Report Number
    1226348-2016-10313
    Event Type
    Injury
    Date Received
    April 20, 2016
    Manufacturer
    CODMAN & SHURTLEFF, INC.
    Product Code
    GWM
    PMA / PMN Number
    PN/A
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    (B)(4).

    Additional Manufacturer Narrative · 1

    A 510 (K) NUMBER FOR SIMILAR PRODUCT CODE OF 826638: K974088. (B)(4). IT HAS BEEN COMMUNICATED THAT THE DEVICE IS NOT AVAILABLE FOR EVALUATION. WITHOUT THE DEVICE IT IS NOT POSSIBLE FOR CODMAN TO CONDUCT A PROPER INVESTIGATION. SINCE A LOT NUMBER HAS BEEN PROVIDED A REVIEW OF THE MANUFACTURING RECORDS WILL BE REVIEWED. WE ANTICIPATE THAT THE EVALUATION WILL REVEAL THAT THE DEVICE CONFORMED TO SPECIFICATIONS PRIOR TO RELEASE. IF ANYTHING OTHERWISE IS FOUND THEN A FOLLOW UP REPORT WILL BE FILED. IF AT SOME POINT THE DEVICE DOES BECOME AVAILABLE, THIS COMPLAINT WILL BE RE-OPENED, EVALUATED AND A FOLLOW UP REPORT WILL BE FILED. TRENDS WILL BE MONITORED FOR THIS AND SIMILAR COMPLAINTS. AT THE PRESENT TIME THIS COMPLAINT IS CONSIDERED CLOSED. DEVICE NOT AVAILABLE.

    Description of Event or Problem · 1

    THE SENSOR HAS FUNCTIONED CORRECTLY DURING A FEW DAYS BEFORE SHOWING NEGATIVE VALUES OR UNUSUAL FLUCTUATION . THE ZEROING PROCEDURE WAS CORRECT AND DIFFERENT ICP MONITORS WERE TESTED WHEN THE VALUES WERE FALSE. NO CLINICAL CONSEQUENCE. PATIENT RISK IF THE MONITORING HAS TO BE CHANGED

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    243319 ROHS MICROSENSOR W/SINGLE LUMEN METAL BOLT KIT - 10886704075486 DEVICE, INTRACRANIAL PRESSURE MONITORING GWM CODMAN & SHURTLEFF, INC. CTKCCN

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention