MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a foreign,health professional report with the FDA on 2020-02-18 for NIM? 3.0 INTERFACE 8253200 manufactured by Medtronic Xomed Inc..
[180613217]
Product analysis found out that the customer complaint has been confirmed, stim 1 no function. The pcba patient interface is defective. Device received with broken bottom case and worn wave washers. The pcba patient interface, bottom case, and worn wave washers has been replaced. The device was successfully tested according manufacturers specifications. If information is provided in the future, a supplemental report will be issued.
Patient Sequence No: 1, Text Type: N, H10
[180613218]
A healthcare provider (hcp) reported that a device stimulation probe does not always have contact. No patient impact reported.
Patient Sequence No: 1, Text Type: D, B5
Report Number | 1045254-2020-00093 |
MDR Report Key | 9722718 |
Report Source | FOREIGN,HEALTH PROFESSIONAL |
Date Received | 2020-02-18 |
Date of Report | 2020-02-18 |
Date of Event | 2020-01-24 |
Date Mfgr Received | 2020-01-24 |
Device Manufacturer Date | 2014-05-15 |
Date Added to Maude | 2020-02-18 |
Event Key | 0 |
Report Source Code | Manufacturer report |
Manufacturer Link | Y |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 3 |
Reporter Occupation | OTHER HEALTH CARE PROFESSIONAL |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 3 |
Event Location | 3 |
Manufacturer Contact | CHRISTY CAIN |
Manufacturer Street | 6743 SOUTHPOINT DRIVE NORTH |
Manufacturer City | JACKSONVILLE FL 32216 |
Manufacturer Country | US |
Manufacturer Postal | 32216 |
Manufacturer Phone | 9043328353 |
Manufacturer G1 | MEDTRONIC XOMED INC. |
Manufacturer Street | 6743 SOUTHPOINT DR N |
Manufacturer City | JACKSONVILLE FL 32216 |
Manufacturer Country | US |
Manufacturer Postal Code | 32216 |
Single Use | 3 |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | NIM? 3.0 INTERFACE |
Generic Name | STIMULATOR, NERVE |
Product Code | ETN |
Date Received | 2020-02-18 |
Returned To Mfg | 2020-01-24 |
Model Number | 8253200 |
Catalog Number | 8253200 |
Lot Number | 208332125 |
Operator | HEALTH PROFESSIONAL |
Device Availability | R |
Device Eval'ed by Mfgr | Y |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | MEDTRONIC XOMED INC. |
Manufacturer Address | 6743 SOUTHPOINT DR N JACKSONVILLE FL 32216 US 32216 |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 2020-02-18 |