O-ARM 9732719R

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,health report with the FDA on 2020-03-31 for O-ARM 9732719R manufactured by Medtronic Navigation, Inc (littleton).

Event Text Entries

[186021434] Other relevant device(s) are: product id: bi31000171, (b)(4). Product id: bi30000145, (b)(4). A medtronic representative went to the site to test the equipment. The manufacturer representative replaced standalone board with accompanying system control board. The imaging system then passed the system checkout and was found to be fully functional. The standalone board and the system control board have been received by the manufacturer, however analysis results were not available at the time of filing. If information is provided in the future, a supplemental report will be issued.
Patient Sequence No: 1, Text Type: N, H10


[186021435] Medtronic received information regarding an imaging system that was used during a sacroiliac and thoracolumbar procedure. It was reported that the site acquired 2d images, but then went to take a 3d and it would not expose. They rebooted the system, but that did not resolve the issue. The site decided to switch to another imaging system to complete the case. The site later turned the system on the system the next day and was able to take a spin, however, when the manufacturer representative was on site to troubleshoot, she turned the system on but the image acquisition system (ias) was getting stuck in initializing please wait. The x-ray was also not booting up. Another re-boot did not resolve the issue. There was a reported delay of less than one hour. There is no known impact on patient outcome.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3004785967-2020-00431
MDR Report Key9907225
Report SourceCOMPANY REPRESENTATIVE,HEALTH
Date Received2020-03-31
Date of Report2020-03-31
Date of Event2020-03-10
Date Mfgr Received2020-03-11
Device Manufacturer Date2010-09-27
Date Added to Maude2020-03-31
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 NameO-ARM
Generic NameIMAGE-INTENSIFIED FLUOROSCOPIC X-RAY SYSTEM, MOBILE
Product CodeOXO
Date Received2020-03-31
Model Number9732719R
Catalog Number9732719R
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 2020-03-31

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