FDA Adverse Event Malfunction Summary report: N

HUMMINGBIRD

MDR report key: 7295809 · Received February 23, 2018

Report

Report Number
MW5075487
Event Type
Malfunction
Date Received
February 23, 2018
Date of Event
February 7, 2018
Report Date
February 9, 2018
Manufacturer
INNERSPACE
Product Code
GWM
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
NM, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

A CATHETER WITHIN THE HUMMINGBIRD DEVICE WAS NO LONGER IN PATENT POSITION, REQUIRING DEVICE REMOVAL. DEVICES WILL BE RETURNED ONLY IF MANUFACTURERS PROVIDE PREPAID SHIPPING, PACKAGING AS PER DOT, OR PICK THE ITEM UP. THE DETAILS IN THIS REPORT IS THE EXTENT TO WHICH WE IDENTIFY MEDICATIONS INVOLVED OR PATIENT CONTACT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
137344 HUMMINGBIRD DEVICE, MONITORING, INTRACRANIAL PRESSURE GWM INNERSPACE HVMV600MR HVMV600MR

Patients

Seq Age Sex Outcome Treatment
1 51 YR