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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: MEDTRONIC NAVIGATION, INC (LITTLETON) O-ARM 1000 IMAGING SYSTEM 3RD EDITION; IMAGE-INTENSIFIED FLUOROSCOPIC X-RAY SYSTEM, M

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MEDTRONIC NAVIGATION, INC (LITTLETON) O-ARM 1000 IMAGING SYSTEM 3RD EDITION; IMAGE-INTENSIFIED FLUOROSCOPIC X-RAY SYSTEM, M Back to Search Results
Model Number BI70000027230R
Device Problems Failure to Run on Battery (1466); Power Problem (3010); Application Program Freezes, Becomes Nonfunctional (4031)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 01/26/2022
Event Type  malfunction  
Manufacturer Narrative
No patient information provided as no patient was involved in this concern.No parts have been received by the manufacturer for evaluation.
 
Event Description
Medtronic received information regarding an imaging system.It was reported outside of a procedure that the batteries and chargers were malfunctioning.A few battery pairs were below the recommended level.The chargers provided too much power.The system was not able to start exposition.  no patient was present at the time of the event.Additional information was received.It was reported that the imaging system could boot up, however x-ray could not be performed.It was noted that voltage on the standalone board would drop when attempting an image acquisition.Troubleshooting found that non-medtronic batteries were installed in the imaging system and the batteries caused the reported issue.
 
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Brand Name
O-ARM 1000 IMAGING SYSTEM 3RD EDITION
Type of Device
IMAGE-INTENSIFIED FLUOROSCOPIC X-RAY SYSTEM, M
Manufacturer (Section D)
MEDTRONIC NAVIGATION, INC (LITTLETON)
300 foster st
littleton MA 01460
Manufacturer (Section G)
MEDTRONIC NAVIGATION, INC (LITTLETON)
300 foster st
littleton MA 01460
Manufacturer Contact
glen belmer
7000 central avenue ne rcw215
minneapolis, MN 55432
6122713209
MDR Report Key13549727
MDR Text Key287329572
Report Number3004785967-2022-00115
Device Sequence Number1
Product Code OXO
Combination Product (y/n)N
Reporter Country CodeCY
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,Company Representative
Reporter Occupation Non-Healthcare Professional
Type of Report Initial
Report Date 02/17/2022
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Model NumberBI70000027230R
Device Catalogue NumberBI70000027230R
Was Device Available for Evaluation? No
Initial Date Manufacturer Received 01/26/2022
Initial Date FDA Received02/17/2022
Was Device Evaluated by Manufacturer? No
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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