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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: CHRISTOPH MIETHKE GMBH & CO KG PROGAV 2.0 SYSTEM W. SA15 A.CONTROL RESERVOIR; HYDROCEPHALUS MANAGEMENT

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CHRISTOPH MIETHKE GMBH & CO KG PROGAV 2.0 SYSTEM W. SA15 A.CONTROL RESERVOIR; HYDROCEPHALUS MANAGEMENT Back to Search Results
Model Number FX434T
Medical Device Problem Code Obstruction of Flow (2423)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 04/22/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that a progav 2.0 shuntsystem (#fx433t) wanted to be implanted.According to the complainant, the shunt system appears to have become blocked during the procedure.As a result, the shunt could not be used, and an additional shunt had to be used to complete the procedure.The event was considered non-serious by the client.Patient recovering.
 
Additional Manufacturer Narrative
The investigation on-going.Should relevant additional information or the investigation results become available, a supplemental medwatch report will be submitted.
 
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Brand Name
PROGAV 2.0 SYSTEM W. SA15 A.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 Key25260351
Report Number3004721439-2026-00145
Device Sequence Number5495879
Product Code JXG
UDI-Device Identifier04041906137328
UDI-Public(01)04041906137328(11)251013(17)301001(10)20085798
Combination Product (Y/N)N
Initial Reporter CountryBR
PMA/510(K) Number
K161853
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Foreign,User Facility,Company Representative
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date (Section B) 07/06/2026
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? Yes
Operator of Device Health Professional
Device Model NumberFX434T
Device Catalogue NumberFX434T
Device Lot Number20085798
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 04/28/2026
Supplement Date Received by Manufacturer06/26/2026
Initial Report FDA Received Date05/22/2026
Supplement Report FDA Received Date07/06/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured10/13/2025
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 SexFemale
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