FDA Adverse Event Summary report: N

STRATA, ADJUSTABLE VALVE

MDR report key: 595599 · Received April 18, 2005

Report

Report Number
2021898-2005-00060
Date Received
April 18, 2005
Date of Event
February 22, 2005
Report Date
March 21, 2005
Manufacturer
MEDTRONIC NEUROSURGERY
Product Code
JXA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

THERE WAS A SUBCUTANEOUS SWELLING AROUND THE VALVE, AND IT WAS EXPLANTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 STRATA, ADJUSTABLE VALVE CENTRAL NERVOUS SYSTEM FLUID SHUNTS AND CO JXA MEDTRONIC NEUROSURGERY NA UNK

Patients

Seq Age Sex Outcome Treatment
1 *