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 2020-03-26 for O2 BI70002000 manufactured by Sanmina -sci Systems.

Event Text Entries

[186731982] Other relevant device(s) are: product id: bi71000159, serial/lot #: none ; product id: bi71000531, serial/lot #: none. The manufacturer representative went to the site to test the imaging system. The reported issue was confirmed and they found that the inner gantry cover was broken at the front lip and the gantry fans were loud and creating a vibration due to a broken fan blade. They replaced the cover and the gantry fans and the vibration was resolved. System tested and was functioning properly. The gantry cover was discarded at the site. The fans returned to the manufacture for evaluation and are under analysis at the time. If information is provided in the future, a supplemental report will be issued.
Patient Sequence No: 1, Text Type: N, H10


[186731983] Medtronic received information regarding an imaging system being used in a cervical spine procedure. It was reported that while attempting to take a spin the system made a loud clunking noise and would not allow them to take the spin. Both navigation and imaging were aborted causing less than an hour delay in the case. No impact on patient outcome. Additional information was received stating the site was able to take two 2d images, but no 3d images. Troubleshooting was not performed. When the system stopped working correctly the site removed it from the case. However, the procedure was completed, but without the imaging system.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3006544299-2020-00105
MDR Report Key9884052
Report SourceHEALTH PROFESSIONAL
Date Received2020-03-26
Date of Report2020-03-26
Date of Event2020-03-19
Date Mfgr Received2020-03-19
Device Manufacturer Date2019-10-10
Date Added to Maude2020-03-26
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 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 NameO2
Generic NameINTERVENTIONAL FLUOROSCOPIC X-RAY SYSTEM
Product CodeOWB
Date Received2020-03-26
Returned To Mfg2020-03-25
Model NumberBI70002000
Catalog NumberBI70002000
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device Eval'ed by MfgrY
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 2020-03-26

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