MAUDE MDR 461053

MDR report key
461053
Report number
2247123-2003-00001
Event key
0
Event type
3
Date of event
2003-03-10
Date received
2003-05-15
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
1
Health professional
3
Initial report to FDA
3
Event location
3

Related Records

Manufacturer Contact

Contact
DR SHLOMO GABBAY,CHIEF SCIENTIFIC O
Address
650 LIBERTY AVE UNION NJ 07083 US
Phone
*
Report source
M
Manufacturer link flag
Y

Devices

SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1SHELHIGH DURASHIELDPERICARDIAL PATCH USE TO REPLACE THE DURASHELHIGH, INC.MFXSHP-555-DSSHP-555-68-DS020324-NRNRN

Patients

SequenceReceivedTreatmentOutcome
12003-05-1501. H; 2. L; 3. R; 4. S

Event Narratives

D

Patient 1

IN 2003 THIS PT HAD BRAIN SURGERY FOR MALIGNANT BRAIN TUMOR. THE DURA WAS CLOSED WITH DURASHIELD AND A VENTRICULAR DRAINAGE CATHETER WAS PLACED. (COULD ALSO BE A SOURCE OF CONTAMINATION). ONE WEEK POST-OP, THE PT HAD CNS SYMPTOMS AND A LUMBAR PUNCTURE WAS PERFORMED TO ANALYZE THEIR CSF; WAS ABNORMAL BUT FOUND TO BE STERILE. SUBSEQUENTLY THE PT DEVELOPED INFECTION OF THE LUMBAR SPINE, AND EVENTUALLY GREW ASPERGILLUS FUMIGATAS. ALTHOUGH RARE, THIS HOSPITAL INFECTION COULD BE RELATED TO THE LUMBAR PUNCTURE OR TO THE PROCEDURE. THE DEVICE WAS OBVIOUSLY STERILE. ALSO, IF THIS WAS DEVICE RELATED, THE INFECTION WOULD BE CENTRAL AND NOT DISTALLY TO THE PLACE OF IMPLANTATION.

Related GUDID Devices By Product Code

No records found.

Related PMN/PMA Records By Product Code

TypeSubmissionProduct codeDeviceApplicantDecision date
510(k)K061727MFXGORE PRECLUDE VESSEL GUARDW. L. Gore & Associates, Inc.2006-08-07
510(k)K960532MFXPRECLUDE IMA SLEEVEW. L. Gore & Associates, Inc.1996-05-23