CSF-VENTRICULAR PORT
Received May 20, 2026 · Event occurred May 19, 2026
Report 9612501-2026-01419 · MDR key 25230271
Device
Generic name
Port & Catheter, Implanted, Subcutaneous, Intr
Manufacturer
Medtronic DominicanaModel number
44010Catalog number
44010
Lot number
0231802969
Product problems
- Fluid/Blood Leak
Patient
61 YR · Female
- No Clinical Signs, Symptoms or Conditions
Narrative
Description of Event or Problem
MEDTRONIC RECEIVED INFORMATION REGARDING A VENTRICULAR PORT. IT WAS REPORTED THAT ON (B)(6) 2026, THE PATIENT REQUIRED IMPLANTATION OF A RESERVOIR DUE TO INTRACEREBRAL HEMORRHAGE. DURING THE PROCEDURE, FLUID LEAKAGE FROM THE DRAINAGE TUBE WAS OBSERVED, AND IT WAS SUBSEQUENTLY REPLACED WITH A NEW DEVICE. THERE WAS A PROCEDURE DELAY OF 10 MINUTES. THE PATIENT'S STATUS AT THE TIME OF THE REPORT WAS ALIVE-NO INJURY.
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.