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 |