OARM O2 IMAGING SYSTEM BI70002000

MAUDE Adverse Event Report

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

Event Text Entries

[184476370] Concomitant medical products: product id: bi71000168, serial/lot #: unknown. A medtronic representative went to the site to test the equipment. Troubleshooting was performed by removing the covers to access the collimator assembly. The reported issue was confirmed, the collimator was not initializing correctly. It was found that the "stroke error" for the x-leaf was out of specification. The x and y end stops were adjusted. After the adjustment, both x and y collimator leaves passed the stroke check. The collimator to detector alignment was adjusted. The system then performed as intended and passed a system checkout. No hardware parts were replaced. If information is provided in the future, a supplemental report will be issued.
Patient Sequence No: 1, Text Type: N, H10


[184476371] Medtronic received information regarding an imaging system being used outside of a procedure. It was reported that there was an initializing collimator error on the motion bar of the imaging system pendant. The logs showed a problem with the collimator, error 100. 4 (x-leaf failing). There was no patient involved when this issue was discovered.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3004785967-2020-00390
MDR Report Key9865445
Report SourceCOMPANY REPRESENTATIVE,FOREIG
Date Received2020-03-23
Date of Report2020-03-23
Date of Event2020-03-19
Date Mfgr Received2020-03-19
Device Manufacturer Date2018-01-29
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
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 NameOARM O2 IMAGING SYSTEM
Generic NameINTERVENTIONAL FLUOROSCOPIC X-RAY SYSTEM
Product CodeOWB
Date Received2020-03-23
Model NumberBI70002000
Catalog NumberBI70002000
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
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

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