InjuryPCB
DUET EXTERNAL DRAINAGE SYSTEM
Received Jul 5, 2023 · Event occurred Jun 28, 2023
Report MW5119136 · MDR key 17268457
Device
Generic name
External Cerebrospinal Fluid (csf) Diversion
Manufacturer
Medtronic NeurosurgeryModel number
46915Lot number
226634688
Product problems
- Material Separation
- No Flow
Patient
60 YR · Male
- No Clinical Signs, Symptoms or Conditions
- No Clinical Signs, Symptoms or Conditions
Narrative
Description of Event or Problem
THE MEDTROINC DUET EXTERNAL DRAINAGE SYSTEM WAS ATTACHED TO THE PATIENT'S EVD(EXTERNAL VENTRICULAR DRAIN) ON (B)(6) 2023. ON (B)(6) 2023 THE DRAINAGE SYSTEM WAS NOT DRAINING AND WITHIN THE HOURS IT WAS ASSESSED BY NURSING AND NEUROSURGERY. THE PATIENT LINE WAS FOUND TO HAVE SEPARATED FROM IT HUB THAT WAS STILL SECURED TO THE STOP CLOCK. THERE WAS NO EVIDENCE OF FORCE AND EVD SUTURES WERE INTACT.