NURO 3533

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,consum report with the FDA on 2017-02-23 for NURO 3533 manufactured by Medtronic Neuromodulation.

Event Text Entries

[68208417] A good faith effort will be made to obtain the applicable information relevant to the report. If information is provided in the future, a supplemental report will be issued.
Patient Sequence No: 1, Text Type: N, H10


[68208418] The consumer reported via a manufacturing representative that they noticed some symptom improvement, but was still having issues noting it was hard to tell where the improvement was due to a urinary tract infection (uti). The patient saw their healthcare provider regarding the uti and was placed on medication. The event was ongoing. It was noted the patient had their 12th session on (b)(6) 2017.
Patient Sequence No: 1, Text Type: D, B5


[97973317] If information is provided in the future, a supplemental report will be issued.
Patient Sequence No: 1, Text Type: N, H10


[97973318] Additional information received from the healthcare provider (hcp) indicated that the cause of the uti was unknown. There were no further complications reported as a result of this event.
Patient Sequence No: 1, Text Type: D, B5


[100846026] 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 Number3007566237-2017-00772
MDR Report Key6354961
Report SourceCOMPANY REPRESENTATIVE,CONSUM
Date Received2017-02-23
Date of Report2017-07-05
Date of Event2017-02-20
Date Mfgr Received2017-06-29
Date Added to Maude2017-02-23
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 ContactLISA WOODWARD CLARK
Manufacturer Street7000 CENTRAL AVENUE NE RCW215
Manufacturer CityMINNEAPOLIS MN 55432
Manufacturer CountryUS
Manufacturer Postal55432
Manufacturer Phone7635263920
Manufacturer G1MEDTRONIC NEUROMODULATION
Manufacturer Street800 53RD AVE NE
Manufacturer CityMINNEAPOLIS MN 554211200
Manufacturer CountryUS
Manufacturer Postal Code554211200
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameNURO
Generic NameSTIMULATOR,PERIPHERAL NERVE,NON-IMPLANTED,FOR PELVIC FLOOR DYSFUNCTION
Product CodeNAM
Date Received2017-02-23
Model Number3533
Catalog Number3533
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerMEDTRONIC NEUROMODULATION
Manufacturer Address800 53RD AVE NE MINNEAPOLIS MN 554211200 US 554211200


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2017-02-23

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