O1 BI70000028230

MAUDE Adverse Event Report

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 2020-03-10 for O1 BI70000028230 manufactured by Medtronic Navigation, Inc (littleton).

Event Text Entries

[183155393] Patient information was unavailable from the site. (b)(6). No parts have been received by the manufacturer for evaluation. The manufacture date was not available at the time of reporting. If information is provided in the future, a supplemental report will be issued.
Patient Sequence No: 1, Text Type: N, H10


[183155474] Medtronic received information regarding an imaging system being used in a procedure. It was reported that after turning the system on and while moving to the operating room, the system beeped continuously. After connecting the umbilical cord, the beeping continued and the system failed to boot up completely (green bars visible). The site tried to fix the issue with a re-boot that froze with text "initializing systems, please wait... " visible on the image acquisition system (ias) monitor. The site used a different imaging system that was available. After a few unsuccessful reboots, the system booted up correctly. After running the calibrations, the site repeated boot up process five times and was not able to reproduce error. There was less than an hour delay in the case. No impact on patient outcome. Additional information was received stating that the issue occurred when booting up the system when preparing the operating room (or) for operation. - medtronic received information regarding an imaging system being used in a procedure. It was reported that the system malfunctioned in a similar manner. The system beeped continuously after booting and didn? T boot completely. They re-boot the system several times but the it never got past the? Booting phase.? The system was left unpowered for 10 to 15 min, after which the system turned on normally and worked well during the procedure. The issue didn? T cause delay, but slowed down the preparations and caused concerns. There was no impact on patient outcome.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3004785967-2020-00348
MDR Report Key9812711
Report SourceFOREIGN,HEALTH PROFESSIONAL
Date Received2020-03-10
Date of Report2020-03-10
Date of Event2020-02-24
Date Mfgr Received2020-02-24
Date Added to Maude2020-03-10
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactSTACY RUEMPING
Manufacturer Street7000 CENTRAL AVENUE NE RCW215
Manufacturer CityMINNEAPOLIS MN 55432
Manufacturer CountryUS
Manufacturer Postal55432
Manufacturer Phone7635260594
Manufacturer G1MEDTRONIC NAVIGATION, INC (LITTLETON)
Manufacturer Street300 FOSTER ST
Manufacturer CityLITTLETON MA 01460
Manufacturer CountryUS
Manufacturer Postal Code01460
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameO1
Generic NameIMAGE-INTENSIFIED FLUOROSCOPIC X-RAY SYSTEM, MOBILE
Product CodeOXO
Date Received2020-03-10
Model NumberBI70000028230
Catalog NumberBI70000028230
Device AvailabilityN
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerMEDTRONIC NAVIGATION, INC (LITTLETON)
Manufacturer Address300 FOSTER ST LITTLETON MA 01460 US 01460


Patients

Patient NumberTreatmentOutcomeDate
10 2020-03-10

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