FDA Adverse Event Other Summary report: N

SYNCHROMED II

MDR report key: 648962 · Received December 2, 2005

Report

Report Number
2182207-2005-01875
Event Type
Other
Date Received
December 2, 2005
Date of Event
November 22, 2005
Report Date
November 22, 2005
Manufacturer
NEUROLGOICAL DIV, MEDTRONIC, INC.
Product Code
LKK
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MN, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

THE MFR'S REP REPORTED THE PUMP AND CATHETER WERE EXPLANTED, DUE TO INFECTION. A FOLLOW UP REPORT WILL BE SENT WHEN ADDITIONAL INFO IS RECEIVED.

Description of Event or Problem · 1

ADDITIONAL INFORMATION FROM THE HCP REPORTS THE PATIENT PRESENTED ON 11/21/2005 WITH REDNESS, SWELLING, AND PAIN OF THE DEVICE POCKET AND CATHETER TRACK. CULTURES OF BOTH THE DEVICE POCKET AND THE LUMBAR REGION WERE DONE. THE RESULTS WERE NOT REPORTED, BUT IT WAS KNOWN THAT THE PT DID NOT HAVE MININGITIS. THE PATIENT WAS TREATED WITH BOTH IV AND ORAL ANTIBIOTICS AND TOTAL DEVICE SYSTEM EXPLANT. THE PT OUTCOME WAS REPORTED AS ONGOING WITH NO DRUG WITHDRAWAL. THE PT HAD NO KNOWN RISK FACTORS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SYNCHROMED II PUMP LKK NEUROLGOICAL DIV, MEDTRONIC, INC. 863740 NA

Patients

Seq Age Sex Outcome Treatment
1 41 YR Hospitalization| O