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U.S. Department of Health and Human Services

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

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MEDTRONIC NAVIGATION, INC. (BOXBOROUGH) O-ARM O2 IMAGING SYSTEM; INTERVENTIONAL FLUOROSCOPIC X-RAY SYSTEM Back to Search Results
Model Number BI70002000
Medical Device Problem Codes Incorrect, Inadequate or Imprecise Result or Readings (1535); Communication or Transmission Problem (2896)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 02/27/2026
Type of Reportable Event Malfunction
Event or Problem Description
Medtronic received information regarding an imaging system being used during a procedure.It was reported regarding alleged inaccuracy as the system was inaccurate due to the imaging system and navigation system not communicating.Representative reported that once the imaging system toolcard was added to the equipment page, the navigation system and imaging system successfully established communication.No additional information was provided.
 
Additional Manufacturer Narrative
(h3,h6) no parts have been received by the manufacturer for evaluation.B17,c20,d15,g07001 are applicable medtronic submits this report to comply with fda regulations 21 cfr parts 4 and 803.Medtronic has made reasonable efforts to provide as much relevant information as is available to the company as of the submission date of this report.This report does not constitute an admission or a conclusion by fda, medtronic, or its employees that the device, medtronic, or its employee caused or contributed to the event described in the report.Any required fields that are unpopulated are blank because the information is currently unknown or unavailable.Medtronic will submit a supplemental report if additional relevant information becomes known.
 
Additional Manufacturer Narrative
H2) 'b5' updated, patient information 'a' updated, continuation of d10: section d information references the main component of the system.Other relevant device(s) are: product id: m018081c001 , serial/lot #: (b)(6) is applicable medtronic submits this report to comply with fda regulations 21 cfr parts 4 and 803.Medtronic has made reasonable efforts to provide as much relevant information as is available to the company as of the submission date of this report.This report does not constitute an admission or a conclusion by fda, medtronic, or its employees that the device, medtronic, or its employee caused or contributed to the event described in the report.Any required fields that are unpopulated are blank because the information is currently unknown or unavailable.Medtronic will submit a supplemental report if additional relevant information becomes known.
 
Event or Problem Description
Add info received: imaging system being used during a lumbar spine procedure.This issue occurred intra operatively and caused less than 1 hour surgical delay.There was no reported impact to the patient outcome.Add info received: the site has decided to not proceed with a imaging system checkout at that time.The site decided that the missing imaging system tool card on the navigation system was caused by untrained user error and was the cause of the imaging and navigation system not communicating.
 
Additional Manufacturer Narrative
H2, h6) a software analysis was initiated.However, the software evaluation found as not a software issue, complaint data analysis found the event is due to a user workflow issue as per complaint.Software functioning as designed.Codes b01, c19, d14 are applicable to this analysis.Continuation of d10: section d information references the main component of the system.Other relevant device(s) are: product id: m018081c001, version#: 4.3.0 medtronic submits this report to comply with fda regulations 21 cfr parts 4 and 803.Medtronic has made reasonable efforts to provide as much relevant information as is available to the company as of the submission date of this report.This report does not constitute an admission or a conclusion by fda, medtronic, or its employees that the device, medtronic, or its employee caused or contributed to the event described in the report.Any required fields that are unpopulated are blank because the information is currently unknown or unavailable.Medtronic will submit a supplemental report if additional relevant information becomes known.
 
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Brand Name
O-ARM O2 IMAGING SYSTEM
Common Device Name
INTERVENTIONAL FLUOROSCOPIC X-RAY SYSTEM
Manufacturer (Section D)
MEDTRONIC NAVIGATION, INC. (BOXBOROUGH)
200 beaver brook rd
boxborough,ma 45640
MX  45640
Manufacturer (Section G)
MEDTRONIC NAVIGATION, INC. (BOXBOROUGH)
200 beaver brook rd
boxborough,ma 45640
MX   45640
Manufacturer Contact
justin ellis
8200 coral sea street ne mvs21
mounds view, MN 55112
7635265677
MDR Report Key24510519
Report Number3004785967-2026-00133
Device Sequence Number9982104
Product Code OWB
UDI-Device Identifier00763000132378
UDI-Public(01)00763000132378(11)200120
Combination Product (Y/N)N
Initial Reporter StateNC
Initial Reporter CountryUS
PMA/510(K) Number
K200074
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Health Professional
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup,Followup
Report Date (Section B) 03/27/2026
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
Operator of Device Health Professional
Device Model NumberBI70002000
Device Catalogue NumberBI70002000
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 02/27/2026
Supplement Date Received by Manufacturer03/13/2026
03/26/2026
Initial Report FDA Received Date03/04/2026
Supplement Report FDA Received Date03/24/2026
03/30/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured01/20/2020
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Reuse
Patient Sequence Number1
Concomitant Medical Products
and Therapy/Usage Dates
SEE H11.; SEE H11.
Patient Age85 YR
Patient SexFemale
Patient Weight100 KG
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