BASE SYS BI70002000 O-ARM SYS O2

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative report with the FDA on 2020-03-25 for BASE SYS BI70002000 O-ARM SYS O2 manufactured by Medtronic Navigation, Inc (littleton).

Event Text Entries

[184834403] Other relevant device(s) are: product id bi71000529. No patient involved. A medtronic representative went to the site to test the equipment. The manufacturer representative had some issues with the pendant button depression. The representative was able to replicate the customer complaint on a few buttons however, x, y, z, up, down etc all worked without hesitation/issue. The representative was able to replicate the issues complained about. Hardware part were replaced which resolved the issue and the system the passed checkout and performed as intended. If information is provided in the future, a supplemental report will be issued.
Patient Sequence No: 1, Text Type: N, H10


[184834404] Medtronic received information regarding an imaging system used outside of procedure. It was reported that the gantry would not close on the system (door open on pendant, not physical movement of the gantry). No patient present.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3004785967-2020-00405
MDR Report Key9877369
Report SourceCOMPANY REPRESENTATIVE
Date Received2020-03-25
Date of Report2020-03-25
Date of Event2020-03-18
Date Mfgr Received2020-03-18
Device Manufacturer Date2018-08-06
Date Added to Maude2020-03-25
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 NameBASE SYS BI70002000 O-ARM SYS O2
Generic NameINTERVENTIONAL FLUOROSCOPIC X-RAY SYSTEM
Product CodeOWB
Date Received2020-03-25
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 2020-03-25

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