MAINFRAME 8252001 NIM-RESPONSE 2.0

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 06,user facility report with the FDA on 2013-11-21 for MAINFRAME 8252001 NIM-RESPONSE 2.0 manufactured by Medtronic Xomed, Inc..

Event Text Entries

[17931527] The facility reported they were unable to stimulate using nim 2. 0 and standard et tube; 'emg monitoring disabled' was displayed. There were no values for any channel or the ground electrode when the 'electrode check' was run. Patient interface box was disconnected and reconnected to the nim, then system was power cycled. They were then able to see values in the electrode check and 'emg monitoring disabled' message was no longer displayed. When they used stim probe, there was no response on the system. They elected to continue thyroid case without the nim. There was no report of patient impact.
Patient Sequence No: 1, Text Type: D, B5


[18094438] This device is used for therapeutic purposes. (b)(4). Customer is not returning the device for evaluation. Method: no testing methods performed.
Patient Sequence No: 1, Text Type: N, H10


[102472134] If information is provided in the future, a supplemental report will be issued.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1045254-2013-00577
MDR Report Key3482073
Report Source06,USER FACILITY
Date Received2013-11-21
Date of Report2013-10-29
Date of Event2013-10-29
Date Mfgr Received2013-10-29
Date Added to Maude2014-02-27
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactCHRISTY CAIN
Manufacturer Street6743 SOUTHPOINT DRIVE NORTH
Manufacturer CityJACKSONVILLE FL 32216
Manufacturer CountryUS
Manufacturer Postal32216
Manufacturer Phone9043328353
Manufacturer G1MEDTRONIC XOMED, INC.
Manufacturer Street6743 SOUTHPOINT DRIVE NORTH
Manufacturer CityJACKSONVILLE FL 32216
Manufacturer CountryUS
Manufacturer Postal Code32216
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameMAINFRAME 8252001 NIM-RESPONSE 2.0
Generic NameELECTROMYOGRAPH, DIAGNOSTIC
Product CodeIKN
Date Received2013-11-21
Model Number8252001
Catalog Number8252001
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerMEDTRONIC XOMED, INC.
Manufacturer Address6743 SOUTHPOINT DRIVE NORTH JACKSONVILLE FL 32216 US 32216


Patients

Patient NumberTreatmentOutcomeDate
10 2013-11-21

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