FDA Adverse Event
Malfunction
Summary report: N
NIM
MDR report key: 3890006
·
Received April 23, 2014
Report
- Report Number
- 3890006
- Event Type
- Malfunction
- Date Received
- April 23, 2014
- Date of Event
- February 5, 2014
- Report Date
- April 15, 2014
- Manufacturer
- MEDTRONIC
- Product Code
- GWF
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- CA, US
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
NIM (NERVE INTEGRITY MONITOR) 2.0 MUTING PROBE NOT WORKING AND HAS A NOISY ARTIFACT FROM THE BIPOLAR CAUTERY. WHENEVER THE CAUTERY IS APPLIED, THE NIM GIVES OFF A NOISY ARTIFACT. CURRENTLY UNAWARE IF ANY DELAYS DURING PROCEDURE; SURGEON ABORTED USE OF NIM MONITOR IN THIS CASE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 246691 | NIM | STIMULATOR, ELECTRICAL, NIM | GWF | MEDTRONIC | NR-IP0529 | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 58 YR | ANY DELAYS DURING PROCEDURE, SURGEON ABORTED USE| OF NIM MONITOR IN THIS CASE.| GIVES OFF A NOISY ARTIFACT. CURRENTLY UNAWARE IF| WORKING AND HAS A NOISY ARTIFACT FROM THE BIPOLAR| NIM (NERVE INTEGRITY MONITOR) 2.0 MUTING PROBE NOT| CAUTERY. WHENEVER THE CAUTERY IS APPLIED, THE NIM |