FDA Adverse Event Malfunction Summary report: N

NIM® 2.0 MAINFRAME

MDR report key: 5656206 · Received May 16, 2016

Report

Report Number
1045254-2016-00147
Event Type
Malfunction
Date Received
May 16, 2016
Report Date
April 19, 2016
Manufacturer
MEDTRONIC XOMED INC.
Product Code
IKN
PMA / PMN Number
K024316
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TN, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

CONCOMITANT MEDICAL DEVICE: 8252800: INTERFACE 8252800 RESPONSE 2.0 INCREMENT, S/N (B)(4), LOT 56523600, MANUFACTURED: 06/16/2008. PRODUCT EVALUATION: ANALYSIS RESULTS NOT AVAILABLE; NO DEVICES RETURNED FOR EVALUATION.

Additional Manufacturer Narrative · 1

IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE "OLD SYSTEM IS UNRELIABLE AND INCREASINGLY NOT USER-FRIENDLY. SOMETIMES THEY ARE VISIBLY LOOKING AT THE NERVE AND SEEING IT AND NOT SEEING IN ON THE MONITOR WITH STIMULATION." THERE WAS NO PATIENT IMPACT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
312217 NIM® 2.0 MAINFRAME ELECTROMYOGRAPH, DIAGNOSTIC IKN MEDTRONIC XOMED INC. 8252001IP 56541200

Patients

Seq Age Sex Outcome Treatment
1