O2 BI70002000

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional report with the FDA on 2020-03-23 for O2 BI70002000 manufactured by Medtronic Navigation, Inc (littleton).

Event Text Entries

[184470683] No patient information provided as no patient was involved in this concern. Other relevant device(s) are: product id: bi71000823, serial/lot #: (b)(4). Product id: bi71000181, serial/lot #: (b)(4). Product id: bi71000186, serial/lot #: (b)(4). The manufacturer representative went to the site to test the imaging system. The reported issue was confirmed and they troubleshot the issue and determined it was being caused by one of the mobile view station (mvs) components. They replaced the mvs power board, mvs computer and mvs uninterruptible power supply (ups). After replacement the issue was resolved. A new mac address was added to the hospital network. The system was tested and was working properly. The computer, pcba board and power supply was returned to the manufacture for evaluation and is under analysis at this time. If information is provided in the future, a supplemental report will be issued.
Patient Sequence No: 1, Text Type: N, H10


[184470684] Medtronic received information regarding an imaging system. It was reported outside of a procedure that the mobile view station (mvs) will not fully boot. It gets stuck on the startup screen, then it won't shut down, even if they try to hard shut it off. They ultimately have to unplug it and wait for it to die to get it powered back down. No patient was present at the time of the event.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3004785967-2020-00387
MDR Report Key9865223
Report SourceHEALTH PROFESSIONAL
Date Received2020-03-23
Date of Report2020-03-23
Date of Event2020-03-10
Date Mfgr Received2020-03-10
Device Manufacturer Date2016-04-26
Date Added to Maude2020-03-23
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 NameO2
Generic NameINTERVENTIONAL FLUOROSCOPIC X-RAY SYSTEM
Product CodeOWB
Date Received2020-03-23
Returned To Mfg2020-03-16
Model NumberBI70002000
Catalog NumberBI70002000
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerMEDTRONIC NAVIGATION, INC (LITTLETON)
Manufacturer Address300 FOSTER ST LITTLETON MA 01460 US 01460


Patients

Patient NumberTreatmentOutcomeDate
10 2020-03-23

© 2024 FDA.report
This site is not affiliated with or endorsed by the FDA.