UNKNOWN STRATA VALVE/SHUNT
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
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.
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 |