NA 9040 BRecalls & reported problems
Medtronic Ps Medical, Inc. · KIT 9040 B SHUNT INTL ONLY BH 12MM MED · Class 2 · Implant
Data updated Oct 16, 2026 from official FDA records · Editorial policy
- Adverse event reports
- 6
- Deaths reported
- 0
- Injuries reported
- 1
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 6 adverse event reports that list this exact device (DI 00643169466357), received between Mar 30, 2017 and Mar 30, 2022 — classified as 1 injury, 5 malfunctions.
The most frequently reported specific device problem is “Fluid/Blood Leak” (2 reports).
1 other recall cover devices cleared under the same FDA submission (K831678); they may or may not involve this specific model.
Reports come from manufacturers, hospitals and patients and are not verified by the FDA. A report does not prove the device caused the event, and counts can't be used to compare devices or estimate failure rates. What reports can and can't tell you · How this data works · Data updated Oct 16, 2026.
Most reported problems
Device problems
- Fluid/Blood Leak2
- Infusion or Flow Problem2
- Fracture1
- Inaccurate Flow Rate1
Patient problems
- No Known Impact Or Consequence To Patient4
- No Clinical Signs, Symptoms or Conditions2
Recent adverse event reports
The 6 most recent of 6 reports, in the reporter's own words as published by the FDA.
InjuryMar 30, 2022Infusion or Flow Problem; Infusion or Flow Problem
MEDTRONIC RECEIVED INFORMATION REGARDING A SHUNT. IT WAS REPORTED THAT ONE MONTH AFTER IMPLANTED TO THE PATIENT IT WAS FOUND THAT SHUNT COULD NOT PUMP THE LIQUID. A NEW SHUNT WAS IMPLANTED. NO IMPACT TO THE PATIENT WAS REPORTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 13952728 ↗MalfunctionNov 20, 2020Infusion or Flow Problem; Infusion or Flow Problem
IT WAS REPORTED THAT DURING THE PRE-OPERATION, THE SURGEON TESTED THE SHUNT, AND IT HAD WATER FLOW. WHEN THE SHUNT WAS USED ON THE PATIENT DURING THE OPERATION, THERE WAS NO WATER FLOWING THROUGH. THE SURGEON OPENED A NEW SHUNT SET, AND THE OPERATION WAS CARRIED ON WITHOUT ANY INJURIES. THIS RESULTED IN A 10 MINUTE DELAY IN THE PROCEDURE. THE PATIENT'S STATUS AT THE TIME OF THE REPORT WAS ALIVE-NO INJURY.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 10878289 ↗MalfunctionOct 22, 2019Fluid/Blood Leak; Fluid/Blood Leak
IT WAS REPORTED WHEN THE PHYSICIAN WAS TESTING THE PUMP, THE FLUID KEPT COMING AND LEAKED INSIDE THE DISTAL PART OF THE SHUNT.
Patient problems: No Known Impact Or Consequence To Patient
MAUDE report 9221662 ↗MalfunctionOct 22, 2019Fluid/Blood Leak; Fluid/Blood Leak
IT WAS REPORTED WHEN THE PHYSICIAN WAS TESTING THE PUMP, THE FLUID KEPT COMING AND LEAKED INSIDE THE DISTAL PART OF THE SHUNT.
Patient problems: No Known Impact Or Consequence To Patient
MAUDE report 9221654 ↗MalfunctionMay 31, 2019Fracture; Fracture
IT WAS REPORTED THAT THE PERITONEAL CATHETER BROKE DURING IMPLANT. THE PROCEDURE WAS COMPLETED WITH BACK UP PRODUCTS. THE PATIENT'S STATUS WAS ALIVE-NO INJURY.
Patient problems: No Known Impact Or Consequence To Patient
MAUDE report 8660390 ↗MalfunctionMar 30, 2017Inaccurate Flow Rate; Inaccurate Flow Rate
IT WAS REPORTED TO MEDTRONIC NEUROSURGERY THAT THE PHYSICIAN COULD NOT SEE CEREBROSPINAL FLUID (CSF) FLOW INSIDE THE VALVE INTRA-OPERATIVELY WHEN THEY PALPATING THE VALVE. ACCORDING TO THE REPORT, THERE WAS FLOW OF CSF FROM THE VENTRICULAR CATHETER TO THE VALVE. REPORTEDLY, THE PHYSICIAN DETERMINED THE VALVE WAS NOT WORKING PROPERLY AND REPLACED IT WITH A DIFFERENT MANUFACTURER¿S VALVE. THERE WAS NO INJURY TO THE PATIENT.
Patient problems: No Known Impact Or Consequence To Patient
MAUDE report 6447279 ↗
Recalls under the same FDA submission
These recalls involve devices cleared under K831678. One submission often covers many models, so check the product and lot details in each record.
- Z-1117-2021 · Jan 11, 2021 · Open, ClassifiedMedtronic PS Medical Cerebro Spinal Fluid (CSF)-Flow Control Valves for the following CFNs: 22011 L- SHUNT 22011 L INTL ONLY ULTRA SM LOW 22011 LL - SHUNT 22011 LL INTL ONLY
Other Shunt, central nervous system and components devices
- NATUS EDS3 DRAINAGE SYSTEM NT821731CNatus Medical Incorporated · Shunt, Central Nervous System And Components1 recall208 reports
- Exacta™ 46700Medtronic Ps Medical, Inc. · Shunt, central nervous system and components1 recall2 deaths163 reports
- Strata® 42866Medtronic Ps Medical, Inc. · Shunt, central nervous system and components1 death160 reports
- proGAV 2.0® FX410TChristoph Miethke GmbH & Co. KG · Shunt, central nervous system and components119 reports
- Becker® 46128Medtronic Ps Medical, Inc. · Shunt, central nervous system and components1 recall50 reports
- PROGAV 2.0 FX643TAesculap AG · Shunt, central nervous system and components100 reports
- proSA® FV701TChristoph Miethke GmbH & Co. KG · Shunt, central nervous system and components82 reports
- M.BLUE PLUS FX804TAesculap AG · Shunt, central nervous system and components82 reports
Sources and updates
- Device record: FDA GUDID, file dated Oct 13, 2026 · View this device in AccessGUDID ↗
- Adverse event reports: FDA MAUDE, file dated Oct 14, 2026 · each report above links to its original FDA record
- Recalls: FDA Medical Device Recalls, file dated Oct 16, 2026
- Page last rebuilt: Oct 16, 2026. Data downloaded through openFDA, which notes it is not validated for clinical or regulatory use.
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