MAUDE MDR 9881837

MDR report key
9881837
Report number
1045254-2020-00185
Event key
0
Event type
3
Date of event
2020-03-03
Date received
2020-03-26
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
100
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
CHRISTY CAIN
Address
6743 SOUTHPOINT DRIVE NORTH JACKSONVILLE FL 32216 US
Phone
904-904-9043
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1NIM-NEURO? 3.0 MAINFRAMESTIMULATOR, NERVEMEDTRONIC XOMED INC.ETN82534028253402206064541* N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12020-03-260

Event Narratives#

N

Patient 1

IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

D

Patient 1

A HEALTHCARE PROVIDER (HCP) REPORTED THAT A NERVE MONITORING DEVICE WAS NOT WORKING PROPERLY. THERE WAS NO PATIENT IMPACT.