inforMED
MalfunctionGXZ

NIM® EMG ELECTRODE

Received Sep 18, 2025 · Event occurred Aug 21, 2025

Report 1045254-2025-02157 · MDR key 23082078

Device

Generic name

Electrode, Needle

Model number

XOM UNK NIMELECTRO

Catalog number

XOM UNK NIMELECTRO

Product problems

  • Incorrect, Inadequate or Imprecise Result or Readings
  • Incorrect, Inadequate or Imprecise Result or Readings

Patient

NA · Unknown

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

Narrative

Additional Manufacturer Narrative

H6 : D1102 CODE UPDATED, PREVIOUSLY UPDATED D16 CODE NO LONGER APPLICABLE.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

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 DURING SURGERY, THE SYSTEM WAS NOT GIVING A RESPONSE WHEN THE SURGEON STIMMED VIA THE PROBE. TROUBLESHOOTING WAS PERFORMED, SITE CONFIRMED THAT ELECTRODE CHECK HAS PASSED SUCCESSFULLY PRIOR TO CALL. TS HAD SITE FIRMLY TAP THE ELECTRODES ON THE PI BOX. SITE STATED THAT DESPITE FIRMLY TAPPING, THERE WAS NO RESPONSE ON THE NIM. TS SUGGESTED TO SITE THAT THE ELECTRODES COULD BE AT FAULT, AND THAT IF THE SURGEON WAS WILLING, THEY COULD BE RESEATED ON THE PATIENT. SITE ENDED THE CALL SHORTLY AFTER THIS SUGGESTION. PATIENT DEMOGRAPHICS AND SURGERY INFO NOT AVAILABLE AT THE TIME OF CALL. THERE WAS NO PATIENT IMPACT.