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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: MEDTRONIC NAVIGATION, INC. (LITTLETON) O-ARM O2 IMAGING SYSTEM; INTERVENTIONAL FLUOROSCOPIC X-RAY SYSTEM

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MEDTRONIC NAVIGATION, INC. (LITTLETON) O-ARM O2 IMAGING SYSTEM; INTERVENTIONAL FLUOROSCOPIC X-RAY SYSTEM Back to Search Results
Catalog Number BI70002000
Device Problems Device Inoperable (1663); Device Operates Differently Than Expected (2913)
Patient Problem No Known Impact Or Consequence To Patient (2692)
Event Date 10/11/2017
Event Type  malfunction  
Manufacturer Narrative
Patient information not provided due to (b)(6) patient privacy regulations.The site called the field representative and they were able to resolve the issue over the phone by changing the ip address to the correct one.The site reported that a system reboot following that resolved the issue.No further issues were reported.
 
Event Description
A medtronic representative reported that while in a procedure, both the navigation system and the imaging system became unresponsive.There was no impact on patient outcome.There was a reported delay to the procedure of less than 1 hour due to this issue.
 
Manufacturer Narrative
Additional procedure information received.
 
Event Description
Medtronic received information that the reported issue occurred during a lumbar posterior instrumented fusion procedure.The navigation and imaging systems became unresponsive while the imaging system was acquiring a spin.Rebooting both systems caused a 10 minute delay.
 
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Brand Name
O-ARM O2 IMAGING SYSTEM
Type of Device
INTERVENTIONAL FLUOROSCOPIC X-RAY SYSTEM
Manufacturer (Section D)
MEDTRONIC NAVIGATION, INC. (LITTLETON)
300 foster street
littleton MA 01460
Manufacturer (Section G)
MEDTRONIC NAVIGATION, INC. (LITTLETON)
300 foster street
littleton MA 01460
Manufacturer Contact
heather davis
navigation customer quality
826 coal creek circle
louisville, CO 80027-9710
MDR Report Key7013988
MDR Text Key92484119
Report Number1723170-2017-04580
Device Sequence Number1
Product Code OWB
Combination Product (y/n)N
Reporter Country CodeCA
PMA/PMN Number
K151000
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,foreig
Reporter Occupation Health Professional
Type of Report Initial,Followup
Report Date 08/01/2018
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received11/09/2017
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Radiologic Technologist
Device Catalogue NumberBI70002000
Is the Reporter a Health Professional? Yes
Date Manufacturer Received07/16/2018
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured10/21/2016
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse
Patient Sequence Number1
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