CATHETER PASSER, DISPOSABLE, 60 CM 48409

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional report with the FDA on 2019-01-04 for CATHETER PASSER, DISPOSABLE, 60 CM 48409 manufactured by Medtronic Neurosurgery.

Event Text Entries

[132216960] If information is provided in the future, a supplemental report will be issued.
Patient Sequence No: 1, Text Type: N, H10


[132216961] It was reported there were? Several instances? Of the catheter passer breaking over the? Past year.? The part that was breaking was the part where the catheter is attached to the end of the obturator. It was stated this would sometimes occur when detaching that end of the obturator from the catheter passer handle. The neurosurgeon would either replace the product or make use of the current passer. There were no injuries associated with the issue. The passers were discarded and not available for return. No further specific event, patient, or device information was available for the reported instances.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2021898-2019-00007
MDR Report Key8219324
Report SourceHEALTH PROFESSIONAL
Date Received2019-01-04
Date of Report2019-01-04
Date Mfgr Received2019-01-04
Date Added to Maude2019-01-04
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactSTACY RUEMPING
Manufacturer Street7000 CENTRAL AVENUE NE RCW215
Manufacturer CityMINNEAPOLIS MN 55432
Manufacturer CountryUS
Manufacturer Postal55432
Manufacturer Phone7635260594
Manufacturer G1MEDTRONIC NEUROSURGERY
Manufacturer Street125 CREMONA DRIVE
Manufacturer CityGOLETA CA 93117
Manufacturer CountryUS
Manufacturer Postal Code93117
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCATHETER PASSER, DISPOSABLE, 60 CM
Generic NameCATHETER, PERCUTANEOUS, INTRASPINAL, SHORT TERM
Product CodeMAJ
Date Received2019-01-04
Model Number48409
Catalog Number48409
Lot NumberUNKNOWN
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerMEDTRONIC NEUROSURGERY
Manufacturer Address125 CREMONA DRIVE GOLETA CA 93117 US 93117


Patients

Patient NumberTreatmentOutcomeDate
10 2019-01-04

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