NIM? PROBE 8225101

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a distributor,foreign,health pr report with the FDA on 2020-03-30 for NIM? PROBE 8225101 manufactured by Medtronic Xomed Inc..

Event Text Entries

[185800242] If information is provided in the future, a supplemental report will be issued.
Patient Sequence No: 1, Text Type: N, H10


[185800243] A health care provider (hcp) reported via a distributor that when the doctor used the probe during a parotidectomy procedure, he found that detection was not sensitive. Sometimes there was a response and sometimes there was no response. After several tests, it did not improve. There was a delay of 5 minutes in the procedure as a result of this event. The procedure was completed using a back-up device. There was no intervention planned or performed. The patient was alive with no injury. On follow-up, it was reported that there was no visual and/or audible indicators that alerted the user of the issue. The doctor judged that the device was malfunctioning. The current stim return value displayed was not "0", for troubleshooting, the doctor tried to reconnect the probe and restart the nerve monitor but both were useless. On follow-up, it was reported that detection of insensitivity improved after the doctor changed the probe.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1045254-2020-00190
MDR Report Key9897739
Report SourceDISTRIBUTOR,FOREIGN,HEALTH PR
Date Received2020-03-30
Date of Report2020-03-30
Date of Event2020-02-26
Date Mfgr Received2020-03-05
Device Manufacturer Date2019-03-20
Date Added to Maude2020-03-30
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 ContactCHRISTY CAIN
Manufacturer Street6743 SOUTHPOINT DRIVE NORTH
Manufacturer CityJACKSONVILLE FL 32216
Manufacturer CountryUS
Manufacturer Postal32216
Manufacturer Phone9043328353
Manufacturer G1MEDTRONIC XOMED INC.
Manufacturer Street6743 SOUTHPOINT DR N
Manufacturer CityJACKSONVILLE FL 32216
Manufacturer CountryUS
Manufacturer Postal Code32216
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameNIM? PROBE
Generic NameSTIMULATOR, NERVE
Product CodeETN
Date Received2020-03-30
Model Number8225101
Catalog Number8225101
Lot Number0217329506
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerMEDTRONIC XOMED INC.
Manufacturer Address6743 SOUTHPOINT DR N JACKSONVILLE FL 32216 US 32216


Patients

Patient NumberTreatmentOutcomeDate
10 2020-03-30

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