inforMED
InjuryPCB

MEDTRONIC DUET DRAINAGE SYSTEM

Received Sep 11, 2023 · Event occurred Sep 5, 2023

Report MW5145533 · MDR key 17728702

Device

Generic name

External Cerebrospinal Fluid (csf) Diversion

Model number

46915

Lot number

226571112

Patient

34 YR · Female

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Description of Event or Problem

MEDTRONIC DUET DRAINING SYSTEM ATTACHED TO THE EVD(EXTERNAL VENTRICULAR DRAINAGE) WAS CLAMPED AFTER NICARDIPINE INJECTION AT 1615. AT 1700 THERE WAS WET AREA AROUND PROXIMAL STOPCOCK. PRACTITIONER FLUSHED LINE AND NOTED THE LINE WAS COMPROMISED AND HAD SEPARATED FROM HUB.