FDA Adverse Event Malfunction Summary report: N

MEDTRONIC NIM VITAL FACIAL NERVE MONITOR

MDR report key: 19485126 · Received June 6, 2024

Report

Report Number
MW5155912
Event Type
Malfunction
Date Received
June 6, 2024
Date of Event
May 22, 2024
Report Date
June 5, 2024
Manufacturer
MEDTRONIC XOMED, INC.
Product Code
GWF
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
SC, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Description of Event or Problem · 0

MEDTRONIC NIM VITAL WITH FALSE NEGATIVE. IN THIS SPECIFIC CASE, NIM VITAL DID NOT ALARM WITH PROBE DIRECTLY TOUCHING FACIAL NERVE (NO OVELYING BONE) WITH CURRENT SET AT 1.2MA.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1171921 MEDTRONIC NIM VITAL FACIAL NERVE MONITOR STIMULATOR, ELECTRICAL, EVOKED RESPONSE GWF MEDTRONIC XOMED, INC.

Patients

Seq Age Sex Outcome Treatment
1 76 YR Male Other