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 06,07 report with the FDA on 2013-12-10 for MAINFRAME 8252001 NIM-RESPONSE 2.0 manufactured by Medtronic Xomed, Inc..

Event Text Entries

[3992608] It was reported that the system's stimulus setting would not remain at the designated setting. System will be set at 1. 0 ma and when surgeon goes to stimulate, the setting goes to 0 ma and no stimulus is produced. They were able to change setting back to 1. 0 ma and continue using the system to complete case. There was no patient impact.
Patient Sequence No: 1, Text Type: D, B5


[11383621] (b)(4): product evaluation: no analysis results available; device has not been returned. Method: no testing methods performed. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1045254-2013-00595
MDR Report Key3511965
Report Source06,07
Date Received2013-12-10
Date of Report2013-11-15
Date of Event2013-11-15
Date Mfgr Received2013-11-15
Date Added to Maude2014-03-24
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationBIOMEDICAL ENGINEER
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactMICHELLE ALFORD
Manufacturer Street6743 SOUTHPOINT DRIVE NORTH
Manufacturer CityJACKSONVILLE FL 32216
Manufacturer CountryUS
Manufacturer Postal32216
Manufacturer Phone9043328197
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 Received2013-12-10
Model Number8252001
Catalog Number8252001
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
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 2013-12-10

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