BEUDAMED
    FDA Adverse Event Injury Summary report: N

    INTRATHECAL CATHETER

    MDR report key: 884802 · Received July 24, 2007

    Report

    Report Number
    2182207-2007-02312
    Event Type
    Injury
    Date Received
    July 24, 2007
    Report Date
    May 14, 2004
    Manufacturer
    NEUROLOGICAL DIVISION, MEDTRONIC INC
    Product Code
    LKK
    PMA / PMN Number
    P860004
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Additional Manufacturer Narrative · 1

    .

    Description of Event or Problem · 1

    UBOGU EE, ET AL. TRANSVERSE MYELITIS ASSOCIATED WITH ACINETOBACTER BAUMANII INTRATHECAL PUMP CATHETER-RELATED INFECTION. REG ANESTH PAIN MED. 2003; 28, 5: 470-474.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 INTRATHECAL CATHETER LKK NEUROLOGICAL DIVISION, MEDTRONIC INC CATHETER UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 32 YR Required Intervention INFUSION PUMP, UNK| EXPLANTED| IMPLANTED| PROGRAMMER MODEL PROGRAMMER LOT # UNK