inforMED
MalfunctionLKG

CSF-VENTRICULAR PORT

Received Nov 17, 2025 · Event occurred Aug 22, 2025

Report 9612501-2025-03029 · MDR key 23568555

Device

Generic name

Port & Catheter, Implanted, Subcutaneous, Intr

Model number

44010

Catalog number

44010

Lot number

0230631934

Product problems

  • Fluid/Blood Leak
  • Fluid/Blood Leak

Patient

4 YR · Female

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

Narrative

Additional Manufacturer Narrative

MEDTRONIC SUBMITS THIS REPORT TO COMPLY WITH FDA REGULATIONS 21 CFR PARTS 4 AND 803. MEDTRONIC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEE CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. ANY REQUIRED FIELDS THAT ARE UNPOPULATED ARE BLANK BECAUSE THE INFORMATION IS CURRENTLY UNKNOWN OR UNAVAILABLE. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.

Description of Event or Problem

MEDTRONIC RECEIVED INFORMATION REGARDING A VENTRICULAR PORT. IT WAS REPORTED THAT THERE WAS RESERVOIR LIQUID LEAKAGE. THE PROCEDURE WAS COMPLETED WITH BACK UP PRODUCTS.