VENTRICULAR RESERVOIR, 12MM CONVERTIBLE, INTERCRANIAL LENGTH 30MM 44101

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 03,literature report with the FDA on 2015-03-05 for VENTRICULAR RESERVOIR, 12MM CONVERTIBLE, INTERCRANIAL LENGTH 30MM 44101 manufactured by Medtronic Neurosurgery.

Event Text Entries

[20014578] It was discovered in a review of the literature article titled? Ventricular access device infection rate: a retrospective study and review of the literature? That a total of 142 vads were placed. There were 13 infections, 11 of which had csf-positive cultures. Once a vad infection was documented, the vad was removed within 24 hours. There were two wound complications with negative csf cultures. Six patients died after vad placement for reasons unrelated to their vad surgeries. In the remaining patients, there were 113 vad to shunt conversions.
Patient Sequence No: 1, Text Type: D, B5


[20249678] These events were identified during a review of scientific literature. The corresponding author did not divulge specific device information or answer requests for other missing information on this medwatch report. The events in the article could not be matched to previously reported events. The products were not returned. Therefore evaluations of the device performances were not possible. Reviews of the manufacturing records were not possible as lot numbers were not provided.
Patient Sequence No: 1, Text Type: N, H10


[94193918] If information is provided in the future, a supplemental report will be issued.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2021898-2015-00085
MDR Report Key4574261
Report Source03,LITERATURE
Date Received2015-03-05
Date of Report2015-02-03
Date Mfgr Received2015-02-03
Date Added to Maude2015-03-05
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag0
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactJEFFREY HENDERSON
Manufacturer Street125 CREMONA DRIVE
Manufacturer CityGOLETA CA 93117
Manufacturer CountryUS
Manufacturer Postal93117
Manufacturer Phone8055718445
Manufacturer G1MEDTRONIC NEUROSURGERY
Manufacturer Street125 CREMONA DRIVE
Manufacturer CityGOLETA CA 93117
Manufacturer CountryUS
Manufacturer Postal Code93117
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Sequence Number: 0

Brand NameVENTRICULAR RESERVOIR, 12MM CONVERTIBLE, INTERCRANIAL LENGTH 30MM
Generic NamePORT & CATHETER, IMPLANTED, SUBCUTANEOUS, INTRAVENTRICULAR
Product CodeJXG
Date Received2015-03-05
Catalog Number44101
Lot NumberUNKNOWN
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No0
Device Event Key0
ManufacturerMEDTRONIC NEUROSURGERY
Manufacturer Address125 CREMONA DRIVE GOLETA CA 93117 US 93117

Device Sequence Number: 1

Brand NameVENTRICULAR RESERVOIR, 12MM CONVERTIBLE, INTERCRANIAL LENGTH 30MM
Generic NamePORT & CATHETER, IMPLANTED, SUBCUTANEOUS, INTRAVENTRICULAR
Product CodeLKG
Date Received2015-03-05
Catalog Number44101
Lot NumberUNKNOWN
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerMEDTRONIC NEUROSURGERY
Manufacturer Address125 CREMONA DRIVE GOLETA CA 93117 US 93117


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization; 2. Required No Informationntervention 2015-03-05

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