UNKNOWN NEUROPEN UNKNOWN-ES

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional,literatur report with the FDA on 2018-02-03 for UNKNOWN NEUROPEN UNKNOWN-ES manufactured by Medtronic Neurosurgery.

Event Text Entries

[98961218] Please note that this age is the average age of the patients reported in the article, as the actual age of patients involved was not provided. Please note that this is the gender of the majority of patients reported in the article as the actual genders of patients involved was not provided. Please note that this date is based off the date of publication of the article as the actual event date was not provided. The source literature included the following device specifics: a sterile 15-cm semi-rigid (1. 14 mm in diameter) stylet ne uroendoscope (neuropen) is inserted into a ventricular slotted innervision catheter (2. 8 mm in outer diameter) with a distal slit tip (innervision ventricular catheter). If information is provided in the future, a supplemental report will be issued.
Patient Sequence No: 1, Text Type: N, H10


[98961219] Wenjun shen, hasan r. Syed, gurpreet gandhoke, roxanna garcia, tatiana pundy, tadanori tomita. Endoscopic third ventriculostomy in children with a fiber optic neuroendoscopy. Child's nervous system. Doi: 10. 1007/s00381-017-3679-4. Abstract: objective: endoscopic third ventriculostomy (etv) provides a shunt-free treatment for obstructive hydrocephalus children. With rapidly evolving technology, the semi-rigid fiber optic neuroendoscopy shows a potential application in etv by blunt fenestration. A retrospective analysis of our experience is reviewed. Methods: the authors review infants and children who underwent etv using this technique from june 2004 to june 2016 with radiological and clinical follow-up done by a single surgeon. Patients who underwent etv with channel scope were excluded. Demographic variables and operative reports were collected. Improvement of preoperative symptoms and avoidance of additional cerebrospinal fluid (csf) diversion procedures were considered a success. The etv success score (etvss) was used to correlate with clinical outcomes. Results: a total of 79 patients were included with a mean age of 8. 3? 5. 5 years, and 40. 5% were female. The mean clinical and radiographic follow-up was 38. 6? 40. 9 months. The overall complication rate was 6. 3%, while 73. 4% were considered successful. The etv failure cases received conversion to ventriculoperitoneal shunt or redo of etv with a median time of 2 months. The mean etv success score was 74. 3? 11. 8 with positive correlation between success rate (p <(><<)> 0. 05). Kaplan-meier failure-free survival rates of 30-day, 90-day, 6-month, 1-year, and 2-year were 89. 9, 83. 5, 78. 5, 75. 9, and 74. 6%. Eight patients required redo etv, and five of these patients required eventual shunt placements. Approximately 61. 9% of failure occurred within 3 months. Patients with post-intraventricular hemorrhage (ivh) /infection, and age younger than 12 months had the poorest outcome (p <(><<)> 0. 05). Conclusions: blunt dissection of the third ventricle floor under endoscopic vision with the stylet tip of a fiber optic neuroendoscopy is safe and requires less equipment in the pediatric population. This technique is successful with an optimistic long-term outcome except for infants and the post-ivh and infectious subgroups. Reported events: 8 patients required redo etv; 3 redos in 1 child and a single redo in 7 children. One patient experienced intraoperative venous hemorrhages, which required temporary external ventricular drainage (evd). Two patients experienced minor intraoperative hemorrhages without evd. 3 patients experienced post-operative staph ventriculitis. 5 out of 6 patients who experienced complications required the placement of a ventriculoperitoneal shunt eventually.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2021898-2018-00057
MDR Report Key7239854
Report SourceHEALTH PROFESSIONAL,LITERATUR
Date Received2018-02-03
Date of Report2018-02-03
Date of Event2017-12-16
Date Mfgr Received2018-01-05
Date Added to Maude2018-02-03
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 NameUNKNOWN NEUROPEN
Generic NameENDOSCOPE, NEUROLOGICAL
Product CodeGWG
Date Received2018-02-03
Model NumberUNKNOWN-ES
Catalog NumberUNKNOWN-ES
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 2018-02-03

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