inforMED
OtherGBW

*

Received Dec 4, 2003 · Event occurred Jun 2, 2003

Report 3001587388-2003-00023 · MDR key 501635

Device

Generic name

Peritoneal Catheter

Manufacturer

Sophysa

Model number

*

Catalog number

B905S

Lot number

UNK

Product problems

  • Explanted
  • Device, or device fragments remain in patient
  • Cut In Material

Patient

UNKNOWN

  • Nonresorbable materials, unretrieved in body
  • Surgical procedure

Narrative

Description of Event or Problem

IMPLANTATION OF A SOPHYSA SHUNT IN 1999 INCLUDING A SOPHY SM8 ADJUSTABLE VALVE, A VENTRICULAR CATHETER WITH LEROY RESERVOIR (CAT. #PL06) AND PERITONEAL CATHETER (CAT. #B905S). IN MAY 2003, THE NEUROSURGEON NOTED THAT: I) THE PERITONEAL CATHETER WAS CUT NEAR FROM THE OUTSIDE CONNECTOR OF THE VALVE; II) THE PERITONEAL CATHETER FELL DOWN INTO THE PERITONEUM. A REVISION OF THE PERITONEAL CATHETER WAS DONE IN 2003 AND THE CUT-AND-FELL-DOWN CATHETER HARDLY REMOVED.

Remedial action

  • Other