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