inforMED
InjuryLKG

OMMAYA RESERVOIR

Received Jan 16, 2026 · Event occurred Nov 13, 2025

Report 24092805 · MDR key 24092805

Device

Generic name

Port & Catheter, Implanted, Subcutaneous, Intraventricular

Patient

2 MO · Male

  • Failure of Implant

Narrative

Description of Event or Problem

THE NEUROSURGERY RESIDENT ACCESSED THE OMMAYA RESERVOIR WITH A 25-GAUGE BUTTERFLY NEEDLE USING STERILE TECHNIQUE. APPROXIMATELY 2 ML OF CLEAR FLUID WAS REMOVED, THE NEEDLE WAS WITHDRAWN, AND PRESSURE WAS MAINTAINED FOR 3 MINUTES. NO FLUID LEAKAGE WAS OBSERVED AFTERWARDS. UPON COMPLETION OF THE PROCEDURE, THE OMMAYA RESERVOIR COULD NOT BE PALPATED. A CT OF THE HEAD WAS OBTAINED AND IT FOUND THE RESERVOIR WAS NOW LOCATED WITHIN THE VENTRICLE.