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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: INTEGRA LIFESCIENCES SWITZERLAND SAR CODMAN BACTISEAL EVD CATHETER; BACTISEAL EVD CATHETERS

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INTEGRA LIFESCIENCES SWITZERLAND SAR CODMAN BACTISEAL EVD CATHETER; BACTISEAL EVD CATHETERS Back to Search Results
Catalog Number 821745
Device Problem Insufficient Information (3190)
Patient Problem Cerebrospinal Fluid Leakage (1772)
Event Date 02/25/2024
Event Type  Injury  
Event Description
A facility reported: following wash and clean linen noticed yellow wet stain on the sheet underneath the evd clamp closest to the patients head as there had been no breaks to the evd circuit.Chlorohexidine soaked gauze placed over evd clamp to keep it sterile.Neurosurgeons replaced evd set".
 
Manufacturer Narrative
An investigation has been initiated based on the reported information.Upon completion of the investigation, a follow-up report will be submitted.
 
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Brand Name
CODMAN BACTISEAL EVD CATHETER
Type of Device
BACTISEAL EVD CATHETERS
Manufacturer (Section D)
INTEGRA LIFESCIENCES SWITZERLAND SAR
rue girardet 29
rue girardet 29
le locle
SZ 
Manufacturer (Section G)
INTEGRA LIFESCIENCES SWITZERLAND SAR
rue girardet 29
ch-2400
le locle
SZ  
Manufacturer Contact
vivian nelson
1100 campus drive
princeton, NJ 
6099362319
MDR Report Key18949724
MDR Text Key338244673
Report Number3013886523-2024-00080
Device Sequence Number1
Product Code JXG
Combination Product (y/n)N
PMA/PMN Number
K102589
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,User Facility
Reporter Occupation Other
Type of Report Initial
Report Date 03/21/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received03/21/2024
Is this an Adverse Event Report? No
Is this a Product Problem Report? No
Device Operator Health Professional
Device Catalogue Number821745
Device Lot Number7275609
Date Manufacturer Received02/27/2024
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Unknown
Patient Sequence Number1
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