inforMED
MalfunctionGXZ

NIM® EMG ELECTRODE

Received Sep 20, 2024 · Event occurred Aug 23, 2024

Report 9612501-2024-02420 · MDR key 20269408

Device

Generic name

Electrode, Needle

Model number

8227410

Catalog number

8227410

Lot number

0228895785

Product problems

  • False Negative Result
  • False Positive Result
  • False Negative Result
  • False Positive Result

Patient

70 YR · Female

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

H6: FDM B18 AND FDC D16 CODES NO LONGER APPLY. 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

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.

Description of Event or Problem

IT WAS REPORTED THAT DURING PROCEDURE DOCTOR VISUALLY IDENTIFIED A NERVE. WHEN STIMULATED THE ASSOCIATE MUSCLE CONTRACTED HOWEVER THIS DID NOT REGISTER WITH THE NIM AS AN EVENT NOR MAKE A TWEEDLE OR THUD SOUND. OTHER AREAS WOULD REGISTER AS EVENTS ON THE NIM EXCEPT THE NERVE. DOCTOR SWITCHED NIM VITAL TO THE NIM 3.0, THE ISSUE PERSISTED, SO ELECTRODE WAS CHANGED AND THE ISSUE RESOLVED. PROCEDURE WAS EXTENDED BY FIVE MINUTES. THERE IS NO PATIENT INJURY.