O-ARM 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 foreign,health professional report with the FDA on 2020-03-24 for O-ARM O2 IMAGING SYSTEM BI70002000 manufactured by Sanmina -sci Systems.

Event Text Entries

[185002346] Other relevant device(s) are: product id: kit svc o2 bi71000548 comp ias ser (b)(4). The issue was resolved over the phone. System checkout was not necessary. If information is provided in the future, a supplemental report will be issued.
Patient Sequence No: 1, Text Type: N, H10


[185002347] Medtronic received information regarding an imaging system. It was reported outside of a procedure that the system could not take x-ray. The issue was resolved over phone support. The system was rebooted, and the equipment ran successfully. There was no patient involvement.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3006544299-2020-00098
MDR Report Key9873491
Report SourceFOREIGN,HEALTH PROFESSIONAL
Date Received2020-03-24
Date of Report2020-03-24
Date of Event2020-03-03
Date Mfgr Received2020-03-03
Device Manufacturer Date2019-01-28
Date Added to Maude2020-03-24
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 G1SANMINA -SCI SYSTEMS
Manufacturer StreetKM 15.5 NO. 29, PLANT 06
Manufacturer CityCARR. CHAPALA-GUADALAJARA,JAL 45640
Manufacturer CountryMX
Manufacturer Postal Code45640
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameO-ARM O2 IMAGING SYSTEM
Generic NameINTERVENTIONAL FLUOROSCOPIC X-RAY SYSTEM
Product CodeOWB
Date Received2020-03-24
Model NumberBI70002000
Catalog NumberBI70002000
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerSANMINA -SCI SYSTEMS
Manufacturer AddressKM 15.5 NO. 29, PLANT 06 CARR. CHAPALA-GUADALAJARA,JAL 45640 MX 45640


Patients

Patient NumberTreatmentOutcomeDate
10 2020-03-24

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