BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    O-ARM 1000 IMAGING SYSTEM

    MDR report key: 6094181 · Received November 10, 2016

    Report

    Report Number
    1723170-2016-04868
    Event Type
    Malfunction
    Date Received
    November 10, 2016
    Date of Event
    November 14, 2015
    Report Date
    November 10, 2016
    Manufacturer
    MEDTRONIC NAVIGATION, INC. (LITTLETON)
    Product Code
    OXO
    PMA / PMN Number
    K050996
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    JA
    Reporter Occupation
    HEALTH PROFESSIONAL

    Narratives

    Additional Manufacturer Narrative · 1

    NO PATIENT INFORMATION PROVIDED AS NO PATIENT WAS INVOLVED IN THIS CONCERN. A MEDTRONIC REPRESENTATIVE REPORTED THAT TWO PARTS ORDERED FOR REPAIRS WERE RECEIVED DAMAGED. A REPLACEMENT GANTRY MOTION CONTROLLER DID NOT OPEN THE DOOR AND RELOADING FIRMWARE DID NOT RESOLVE THE ISSUE. POSITIONER MOTION CONTROLLER WAS INSTALLED AND THE GANTRY MOVEMENT IN Y-DIRECTION DID NOT MOVE; RELOADING FIRMWARE DID NOT RESOLVE THE ISSUE EITHER. THERE WAS NO PATIENT PRESENT WHEN THIS ISSUE WAS IDENTIFIED. BOTH THE POSITIONER MOTION CONTROL BOX AND THE GANTRY MOTION CONTROL BOX WERE RETURNED TO MANUFACTURER AND REPLACED WHICH RESOLVED THE ISSUE. NO FURTHER ISSUES WERE REPORTED. ANALYSIS OF THE RETURNED POSITIONER MOTION CONTROL BOX COULD NOT CONFIRM ANY FAILURE AS IT PASSED ALL TESTING SUCCESSFULLY AND WITHOUT PROBLEMS. ANALYSIS OF THE RETURNED GANTRY MOTION CONTROL BOX CONFIRMED THE ELECTRICAL FAILURE REPORTED AS THE GANTRY DOOR WOULD NOT OPEN COMPLETELY UPON TESTING. A FULL IMAGING SYSTEM CHECK-OUT WAS COMPLETED AND ALL TESTS PASSED. FULL SYSTEM FUNCTIONALITY WAS CONFIRMED AND THE SYSTEM WAS RETURNED TO SERVICE. THIS EVENT WAS IDENTIFIED DURING A RETROSPECTIVE REVIEW AS DISCUSSED WITH THE FDA (B)(6) DISTRICT OFFICE ON (B)(6) 2016 VIA MEDTRONIC NAVIGATION, INC. RESPONSE TO (B)(6) 2016 FDA-483 FEI: 3004785967. THIS REVIEW WAS PERFORMED AS A RESULT OF RECENT CHANGES/IMPROVEMENTS TO THE MEDTRONIC NAVIGATION, INC. MEDICAL DEVICE REPORT (MDR) REVIEW PROCESS AND IS FOR NON-ADVERSE EVENT REPORTABLE MALFUNCTIONS WITHIN THE LAST TWO YEARS WHERE THE REPORTED MALFUNCTION WAS NOT PREVIOUSLY ASSOCIATED WITH SERIOUS INJURIES. SIMILAR MALFUNCTIONS THAT HAD RESULTED IN SIGNIFICANT DELAYS OF SURGERY OR REQUIRED ADDITIONAL INTERVENTION HAD BEEN REPORTED AS MDR SERIOUS INJURIES. BASED ON THIS 483 OBSERVATION, THE REPORTING DETERMINATION HAS BEEN REVISED TO CONSIDER THESE MALFUNCTION EVENTS REPORTABLE. THIS PROCESS CHANGE RESULTED IN AN OVERALL INCREASE IN THE NUMBER OF MDRS FILED BY MEDTRONIC NAVIGATION, INC., SINCE APRIL 2016. IT SHOULD BE NOTED THAT THIS INCREASE IS NOT THE RESULT OF THE DISCOVERY OF NEW PRODUCT PROBLEMS, BUT RATHER THE RESULT OF A BROADER INTERPRETATION AND APPLICATION OF THE REGULATIONS WITHIN OUR PROCESSES.

    Description of Event or Problem · 1

    A MEDTRONIC REPRESENTATIVE REPORTED THAT TWO PARTS ORDERED FOR REPAIRS WERE RECEIVED DAMAGED. A REPLACEMENT GANTRY MOTION CONTROLLER DID NOT OPEN THE DOOR AND RELOADING FIRMWARE DID NOT RESOLVE THE ISSUE. POSITIONER MOTION CONTROLLER WAS INSTALLED AND THE GANTRY MOVEMENT IN Y-DIRECTION DID NOT MOVE; RELOADING FIRMWARE DID NOT RESOLVE THE ISSUE EITHER. THERE WAS NO PATIENT PRESENT WHEN THIS ISSUE WAS IDENTIFIED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    745612 O-ARM 1000 IMAGING SYSTEM IMAGE-INTENSIFIED FLUOROSCOPIC X-RAY SYSTEM, MOBILE OXO MEDTRONIC NAVIGATION, INC. (LITTLETON) BI-700-00027-120

    Patients

    Seq Age Sex Outcome Treatment
    1