VENTRICLEAR CATHETER UNKNOWN-C

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional report with the FDA on 2017-12-22 for VENTRICLEAR CATHETER UNKNOWN-C manufactured by Medtronic Neurosurgery.

Event Text Entries

[95634935] If information is provided in the future, a supplemental report will be issued.
Patient Sequence No: 1, Text Type: N, H10


[95634936] It was reported the intensive care unit had experienced a significant increase in infections from (b)(6) 2017. Reportedly, it was recommended that the facility contact all their vendors whose products they use.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2021898-2017-00665
MDR Report Key7142725
Report SourceHEALTH PROFESSIONAL
Date Received2017-12-22
Date of Report2017-12-22
Date of Event2017-05-01
Date Mfgr Received2017-11-28
Date Added to Maude2017-12-22
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
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
Manufacturer ContactSTACY RUEMPING
Manufacturer Street7000 CENTRAL AVENUE NE RCW215
Manufacturer CityMINNEAPOLIS MN 55432
Manufacturer CountryUS
Manufacturer Postal55432
Manufacturer Phone7635260594
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 Details

Brand NameVENTRICLEAR CATHETER
Generic NameCATHETER, VENTRICULAR (CONTAINING ANTIBIOTIC OR ANTIMICROBIAL AGENTS)
Product CodeNHC
Date Received2017-12-22
Model NumberUNKNOWN-C
Catalog NumberUNKNOWN-C
Lot NumberUNKNOWN
Device AvailabilityN
Device Eval'ed by Mfgr*
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 2017-12-22

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