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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: INTEGRA LIFESCIENCES MANSFIELD ICP SENSOR CATHETER KIT; ICP MICROSENSORS

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INTEGRA LIFESCIENCES MANSFIELD ICP SENSOR CATHETER KIT; ICP MICROSENSORS Back to Search Results
Catalog Number 826633
Medical Device Problem Code Loose or Intermittent Connection (1371)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 04/15/2024
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
An investigation has been initiated based on the reported information.Upon completion of the investigation, a follow-up report will be submitted.
 
Event or Problem Description
A facility reported that during the procedure, the physician found that the blue end of luer-lock of the microsensor could not be screwed tightly with csf flowing out.Therefore, the procedure was completed with a replacement product available.No patient consequences, no surgical delay due to product problem.
 
Additional Manufacturer Narrative
Updated fields: d4, d9, g3, g6, h2, h3, h4, h6, h11.The icp sensor (id 826633) was returned for evaluation.Device history record (dhr) - the batch record was reviewed for any anomalies or non-conformances related to the finished device, and none were identified.Failure analysis - the catheter and sensor were inspected.No defects were observed.The fittings were inspected.The blue cap was fully tightened.A syringe with water was used to introduce fluid to the catheter.Water was observed leaking from the blue cap.The complaint was confirmed.Root cause analysis - the complaint was confirmed during investigation and failure analysis evaluation.A potential root cause is improper cap tolerance or damage to the luer-lock connector.
 
Event or Problem Description
N/a.
 
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Brand Name
ICP SENSOR CATHETER KIT
Common Device Name
ICP MICROSENSORS
Manufacturer (Section D)
INTEGRA LIFESCIENCES MANSFIELD
11 cabot boulevard
11 cabot boulevard
mansfield MA 02048
Manufacturer (Section G)
INTEGRA LIFESCIENCES MANSFIELD
11 cabot boulevard
mansfield MA 02048
Manufacturer Contact
vivian nelson
1100 campus drive
princeton, NJ 08540
6099362319
MDR Report Key19234560
Report Number3014334038-2024-00094
Device Sequence Number20297295
Product Code GWM
UDI-Device Identifier10381780520436
UDI-Public10381780520436
Combination Product (Y/N)N
PMA/510(K) Number
K991222
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Foreign,User Facility
Initial Reporter Occupation Other
Type of Report Initial,Followup
Report Date (Section B) 10/24/2025
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Operator of Device Health Professional
Device Catalogue Number826633
Device Lot Number6923881
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 04/16/2024
Supplement Date Received by Manufacturer10/07/2025
Initial Report FDA Received Date05/02/2024
Supplement Report FDA Received Date10/24/2025
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured02/02/2023
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Unknown
Patient Sequence Number1
Concomitant Medical Products
and Therapy/Usage Dates
CERELINK CABLE (ID (B)(6)); CERELINK MONITOR (ID 826635)
Patient SexUnknown
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