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 |