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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: INTEGRA LIFESCIENCES SWITZERLAND SAR CRTS SM IL SG VLV ONLY; INTERNAL CSF DRAINAGE

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INTEGRA LIFESCIENCES SWITZERLAND SAR CRTS SM IL SG VLV ONLY; INTERNAL CSF DRAINAGE Back to Search Results
Catalog Number 828814PL
Medical Device Problem Code Failure to Align (2522)
Health Effect - Clinical Code Insufficient Information (4580)
Type of Reportable Event Serious Injury
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 a certas valve (id 828814pl) setting would not change.No patient injury reported, however, according to information provided, revision/medical intervention required, it is unknown what type of intervention.No additional information was provided after several attempts.
 
Additional Manufacturer Narrative
Updated fields: d4, d9, g3, g6, h2, h3, h4, h6, h11.The certas valve (id 828814pl) was not returned for evaluation after three good faith attempts (gfes) were made.Lot number information has been provided; therefore, device history record (dhr) was reviewed, and no anomalies were found.The root cause of the reported issue could not be determined.However, a probable root cause for the reported complaint is due to user¿s error or an issue with the programmer.If additional relevant information becomes available in the future, this complaint will be reopened, and the respective evaluation performed.Trends will be monitored for this and similar issues.At present, we consider this complaint to be closed.
 
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Brand Name
CRTS SM IL SG VLV ONLY
Common Device Name
INTERNAL CSF DRAINAGE
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 08540
6099362319
MDR Report Key23931349
Report Number3013886523-2025-00340
Device Sequence Number15859877
Product Code JXG
UDI-Device Identifier10381780535942
UDI-Public(01)10381780535942(11)250508(17)300430(10)7547100
Combination Product (Y/N)N
PMA/510(K) Number
K223330
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
Type of Report Initial,Followup
Report Date (Section B) 02/06/2026
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? No
Operator of Device Health Professional
Device Catalogue Number828814PL
Device Lot Number7547100
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 12/05/2025
Supplement Date Received by Manufacturer01/21/2026
Initial Report FDA Received Date12/30/2025
Supplement Report FDA Received Date02/06/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured05/08/2025
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 Unknown
Patient Sequence Number1
Outcome Attributed to Adverse Event Required Intervention;
Patient SexUnknown
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