MalfunctionGYK
CATHETER PASSER, DISPOSABLE, 38 CM
Received Mar 24, 2017 · Event occurred Nov 17, 2016
Report 6431590 · MDR key 6431590
Device
Generic name
Catheter, Percutaneous, Intraspinal, Short Term
Manufacturer
Medtronic NeurosurgeryModel number
38 CMCatalog number
48407
Lot number
E16643
Product problems
- Break
- Device Or Device Fragments Location Unknown
Patient
33 YR
- Device Embedded In Tissue or Plaque
- Device Embedded In Tissue or Plaque
Narrative
Description of Event or Problem
WHILE THE DR. WAS USING THE "SHUNT PASSER" TO PASS THE TUBING THAT HOLDS THE SHUNT CATHETER FROM THE ABDOMEN TO THE SKULL, HE NOTICED THE TIP OF THE SHUNT PASSER HAD BROKEN OFF. HE PRESUMED THAT IT BROKE OFF SOMEWHERE ALONG THE TRACK FROM THE ABDOMEN TO THE SKULL INSIDE THE PATIENT. HE ATTEMPTED MULTIPLE TIMES TO PALPATE, SEARCH THE WOUNDS, AND ALSO HAD A SECOND DR'S HELP TO USE ULTRASOUND TO SEARCH FOR THE MISSING PIECE. IT COULD NOT BE FOUND. THEY PROCEEDED TO FINISH THE CASE AS PLANNED.