FDA Adverse Event Malfunction Summary report: N

NERVEANA NEUROVISION SE

MDR report key: 6812608 · Received August 23, 2017

Report

Report Number
6812608
Event Type
Malfunction
Date Received
August 23, 2017
Date of Event
July 6, 2017
Report Date
August 16, 2017
Manufacturer
NEUROVISION MEDICAL PRODUCTS, INC.
Product Code
ETN
Product Problem
Yes
Report Source
User Facility report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

DURING A TOTAL THYROIDECTOMY AND CENTRAL COMPARTMENT NECK DISSECTION WITH NERVE REPAIR THE NERVANA MACHINE DIDN'T ALERT WHEN STIMULATING THE NERVE, CONNECTIONS CHECK AND IN PLACE - ET TUBE CHANGED AND REPOSITIONED BY THE ANESTHESIOLOGIST. AT THE BEGINNING OF THE CASE, THE NERVANA TUBE WAS PLACED UNEVENTFULLY, APPEARED TO RESPOND NORMALLY, MORE THAN HALFWAY THRU THE CASE A SMALL LEAK WAS NOTED IN THE ETT BALLOON, RE-INFLATED 3-4 TIMES BY LIFTITNG DRAPE, AFFIRMING POSITION, AND RETAPING. DURING THE CASE, THE PATIENT DID REQUIRE REINTUBATION, SAME TUBE REPLACED, RE-TAPED. SMALL LEAK STILL NOTED, NO TROUBLE VENTILATING AND OXYGEN SATS 90'S - 100% THE SURGEON DID NOTE "NERVE INJURY" REPAIRED SURGICALLY AT THE TIME. THE NERVANA TUBE WAS NO LONGER WORKING, A SMALL HOLE WAS NOTED IN THE EET NEAR DISTAL END, THE MACHINE WAS TAKEN TO BIOMED INSPECTED THE UNIT DID NOT DETERMINE MALFUNCTION OF THE MACHINE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
593839 NERVEANA NEUROVISION SE STIMULATOR, NERVE ETN NEUROVISION MEDICAL PRODUCTS, INC.

Patients

Seq Age Sex Outcome Treatment
1 69 YR Other