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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: CHRISTOPH MIETHKE GMBH & CO KG PROGAV 2.0 SYS SA2.0 15 & CONTROL RESERVOIR; HYDROCEPHALUS MANAGEMENT

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CHRISTOPH MIETHKE GMBH & CO KG PROGAV 2.0 SYS SA2.0 15 & CONTROL RESERVOIR; HYDROCEPHALUS MANAGEMENT Back to Search Results
Model Number FX550T
Medical Device Problem Code Physical Resistance/Sticking (4012)
Health Effect - Clinical Code Hydrocephalus (3272)
Date of Event 09/02/2025
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Manufacturing site evaluation: investigation on-going.Should relevant additional information / investigation results become available, a supplemental medwatch report will be submitted.
 
Event or Problem Description
It was reported that a progav 2.0 shunt system (#fx550t) had adjustment difficulties preoperatively.The product was not implanted.No patient complication were reported.The complained product wwill be return to the manufacturer for investigation.
 
Additional Manufacturer Narrative
Visual inspection: during the investigation, no significant deformations or damage of the valve were determined.Permeability test: not necessary due to the cause of complaint.Computer controlled test: not necessary due to the cause of complaint.Adjustment test: the progav 2.0 was tested and is adjustable to all specified pressures.Braking force and brake function test: the brake functionality test has shown that the brake function operates as expected and the braking force is not not measurable due to the sterile packaging.Internal inspection: not necessary due to the cause of complaint.Results: based on our investigation results, we cannot determine any problems with the adjustment or other deviations of the valve.The valve operates within the specification.The examination of the return has been completed with the drafting of this report.Actions no further actions are required as a result of the complaint.
 
Event or Problem Description
The complained product was now sent to the manufacturer for investigation.
 
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Brand Name
PROGAV 2.0 SYS SA2.0 15 & CONTROL RESERVOIR
Common Device Name
HYDROCEPHALUS MANAGEMENT
Manufacturer (Section D)
CHRISTOPH MIETHKE GMBH & CO KG
ulanenweg 2
potsdam, 14469
GM  14469
Manufacturer (Section G)
CHRISTOPH MIETHKE GMBH & CO KG
ulanenweg 2
potsdam, 14469
GM   14469
Manufacturer Contact
joerg knebel
ulanenweg 2
potsdam, 14469
GM   14469
MDR Report Key23254572
Report Number3004721439-2025-00311
Device Sequence Number10251741
Product Code JXG
UDI-Device Identifier04041906503154
UDI-Public(01)04041906503154(11)250307(17)300227(10)20081217
Combination Product (Y/N)N
Initial Reporter StateCA
Initial Reporter CountryUS
PMA/510(K) Number
K190174
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source User Facility,Company Representative
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date (Section B) 11/03/2025
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 Model NumberFX550T
Device Catalogue NumberFX550T
Device Lot Number20081217
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 09/30/2025
Supplement Date Received by Manufacturer11/03/2025
Initial Report FDA Received Date10/09/2025
Supplement Report FDA Received Date11/04/2025
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured03/07/2025
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 Initial
Patient Sequence Number1
Outcome Attributed to Adverse Event Required Intervention;
Patient SexUnknown
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