CSF-VENTRICULAR PORT
Received Dec 24, 2025 · Event occurred Nov 17, 2025
Report 9612501-2025-03431 · MDR key 23887560
Device
Generic name
Port & Catheter, Implanted, Subcutaneous, Intr
Manufacturer
Medtronic DominicanaModel number
44010Catalog number
44010
Lot number
0231403540
Product problems
- Break
- Fracture
- Break
- Fracture
Patient
NA · Male
- 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 DURING THE SURGERY, UPON OPENING THE OUTER PACKAGING, IT WAS DISCOVERED THAT THERE WERE BROKEN/FRACTURED PARTS INSIDE THE STERILE PACKAGING. THE PROCEDURE WAS COMPLETED WITH BACK UP PRODUCTS.