FDA Adverse Event Injury Summary report: N

UNKNOWN STRATA VALVE/SHUNT

MDR report key: 6931510 · Received October 9, 2017

Report

Report Number
2021898-2017-00509
Event Type
Injury
Date Received
October 9, 2017
Report Date
October 9, 2017
Manufacturer
MEDTRONIC NEUROSURGERY
Product Code
JXG
PMA / PMN Number
K042465
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

PLEASE REFER TO REGULATORY REPORT # 2021898-2017-00508 FOR PREVIOUS HISTORY OF THE PATIENT. THIS EVENT WAS IDENTIFIED DURING REVIEW OF SCIENTIFIC LITERATURE. THE ARTICLE CONTAINED ONLY LIMITED AND NON-SPECIFIC DEVICE INFORMATION. THE EVENT REPORTED IN THE SOURCE LITERATURE COULD NOT BE MATCHED TO INFORMATION PREVIOUSLY REPORTED TO MEDTRONIC NEUROSURGERY.

Description of Event or Problem · 1

ALEX P. MICHAEL, AHMAD ELKOUZI, RODGER J. ELBLE. PEARLS <(>&<)> OY-STERS: LOW-PRESSURE HYDROCEPHALUS AND INADEQUATE SHUNTING. AMERICAN ACADEMY OF NEUROLOGY 88 (2017). CASE REPORT: A (B)(6) YEAR OLD FEMALE'S VP SHUNT WAS REVISED WITH AN ADJUSTABLE PS STRATA II VALVE (MEDTRONIC) PLACED ON THE LOWEST POSSIBLE RESISTANCE (PERFORMANCE LEVEL 0.5: OPENING PRESSURE 1.5 CM H2O SUPINE, 3 CM H2O STANDING). SHE CONTINUED TO RESULT IN DEPRESSED CONSCIOUSNESS UNLESS THE EXTERNAL VENTRICULAR DRAIN PRESS WAS,5 CMH2O. AFTER SEVERAL DAYS, THE EXTERNAL DRAIN WAS REMOVED, AND A VALVELESS VP SHUNT WAS PLACED TO ALLOW CONTINUOUS DRAINAGE. WITH THIS TREATMENT, SHE RECOVERED CONSCIOUSNESS AND WAS DISCHARGED HOME WITH NO NEUROLOGIC DEFICIT. HOWEVER, HER CHRONIC HEADACHES CONTINUED AS BEFORE, EVEN THOUGH CT SCANS 7 MONTHS, 2 YEARS, 3 YEARS, AND 5 YEARS LATER REVEALED NO HYDROCEPHALUS. FIVE YEARS AFTER PLACEMENT OF THE VALVELESS SHUNT, A FIBER OPTIC INTRAPARENCHYMAL MONITOR REVEALED NORMAL PRESSURES. HER CHRONIC HEADACHES PERSISTED AND WERE TREATED AS MIGRAINE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
711210 UNKNOWN STRATA VALVE/SHUNT SHUNT, CENTRAL NERVOUS SYSTEM AND COMPONENTS JXG MEDTRONIC NEUROSURGERY UNKNOWN-S UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 30 YR Hospitalization| R