LUMBAR DRAIN CATHETER CLOSED TIP 46419

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2015-12-23 for LUMBAR DRAIN CATHETER CLOSED TIP 46419 manufactured by Medtronic.

Event Text Entries

[34760277] Catheter tip sheared during lumbar drain procedure, retained, new catheter placed with good csf flow.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5058788
MDR Report Key5334194
Date Received2015-12-23
Date of Report2015-12-23
Date of Event2015-12-14
Date Added to Maude2015-12-30
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameLUMBAR DRAIN CATHETER CLOSED TIP
Generic NameVENTRICULOSTOMY
Product CodeLKG
Date Received2015-12-23
Model Number46419
OperatorHEALTH PROFESSIONAL
Device Availability*
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerMEDTRONIC
Manufacturer AddressMINNEAPOLIS MN 55432 US 55432


Patients

Patient NumberTreatmentOutcomeDate
10 2015-12-23

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