DEVICE 8252410 NIM-NEURO 2.0 INTERFACE

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,06,health professional,use report with the FDA on 2014-02-21 for DEVICE 8252410 NIM-NEURO 2.0 INTERFACE manufactured by Medtronic Xomed Inc..

Event Text Entries

[17159741] It was reported that the patient interface has an intermittent connection when the cable is bumped. It was confirmed with physician that the device was making strange, unexpected noises. It has also been confirmed that monitoring would stop, and after manipulation of the interface box, would start up again. The physician reverted to clinical judgment for the remainder of the procedure, there was no patient impact.
Patient Sequence No: 1, Text Type: D, B5


[17621158] This device is used for therapeutic purposes. Concomitant medical products: 8252401, mainframe 8252401 nim-neuro 2. 0, s/n (b)(4), lot: 39240600. 510k: k024316. Manufactured july 21, 2005. (b)(4). Product evaluation: the facility has confirmed that the device has been taken out of service due to age; it will not be returned for analysis. Method: no testing methods performed.
Patient Sequence No: 1, Text Type: N, H10


[101907936] 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 Number1045254-2014-00041
MDR Report Key3640020
Report Source05,06,HEALTH PROFESSIONAL,USE
Date Received2014-02-21
Date of Report2014-01-27
Date of Event2014-01-27
Date Mfgr Received2014-01-27
Date Added to Maude2014-05-08
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 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 NameDEVICE 8252410 NIM-NEURO 2.0 INTERFACE
Generic NameELECTROMYOGRAPH, DIAGNOSTIC
Product CodeIKN
Date Received2014-02-21
Model Number8252410
Catalog Number8252410
Lot NumberNI
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerMEDTRONIC XOMED INC.
Manufacturer Address6743 SOUTHPOINT DR NORTH JACKSONVILLE FL 32216 US 32216


Patients

Patient NumberTreatmentOutcomeDate
10 2014-02-21

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