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N/A 9040 DRecalls & reported problems

Medtronic Ps Medical, Inc. · KIT 9040 D SHUNT INTL ONLY BH 16MM LOW · Class 2 · Implant

Data updated Oct 16, 2026 from official FDA records · Editorial policy

Adverse event reports
1
Deaths reported
0
Injuries reported
1
Recalls naming it
0

Summary

The FDA's MAUDE database contains 1 adverse event report that list this exact device (DI 00763000028855), received between Jul 7, 2022 and Jul 7, 2022 — classified as 1 injury.

The most frequently reported specific device problem is “Infusion or Flow Problem” (1 report).

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

  • Infusion or Flow Problem1
  • Insufficient Device Problem Information1

Patient problems

  • Unspecified Tissue Injury1

Recent adverse event reports

The 1 most recent of 1 reports, in the reporter's own words as published by the FDA.

  • InjuryJul 7, 2022Infusion or Flow Problem; Insufficient Device Problem Information; Infusion or Flow Problem; Insufficient Device Problem Information

    MEDTRONIC RECEIVED INFORMATION REGARDING A SHUNT SYSTEM BEING USED. IT WAS REPORTED THAT THE PLACEMENT OF THE VENTRICULOPERITONEAL SHUNT SYSTEM WAS PERFORMED WITH THE USUAL TECHNIQUE. AT THE TIME OF VERIFYING THE FUNCTIONALITY OF THE SYSTEM, THE NON-FUNCTIONALITY OF THE RESERVOIR WAS EVIDENT. THE PRODUCT WAS WITHDRAWN. A NEW DEVICE WAS USED AND THE ISSUE WAS RESOLVED.

    Patient problems: Unspecified Tissue Injury

    MAUDE report 14945450 ↗

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, Classified
    Medtronic 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

All Shunt, central nervous system and components devices →

Sources and updates

How reports and recalls are matched · Editorial policy · Report an error on this page