NIM Vital NIM4CM01Recalls & reported problems
Medtronic Xomed, Inc. · CONSOLE NIM4CM01 NIM 4.0 · Class 2
All models of NIM Vital (9)
Data updated Oct 16, 2026 from official FDA records · Editorial policy
2 open recalls name this device. See the recall details and contact the manufacturer or your healthcare provider.
Quick summary
This Medtronic NIM Vital nerve monitor has 261 adverse event reports, including 252 malfunctions, 9 injuries and no deaths. Reports mostly describe inaccurate readings, false negative results, and unwanted alarms. There are 2 open recalls naming this device, covering electrical interference in certain software versions and a possible false negative nerve response.
AI-generated from the FDA records on this page and checked automatically against the numbers below. Read the details before relying on it.
- Adverse event reports
- 260
- Deaths reported
- 0
- Injuries reported
- 9
- Recalls naming it
- 2
Summary
The FDA's MAUDE database contains 260 adverse event reports that list this exact device (DI 00763000528577), received between Jan 9, 2024 and Sep 29, 2026 — classified as 9 injuries, 251 malfunctions.
The most frequently reported specific device problem is “Incorrect, Inadequate or Imprecise Result or Readings” (158 reports).
2 FDA recall records name this device's identifier, 2 still open.
2 other recalls cover devices cleared under the same FDA submission (K200759); they may or may not involve this specific model.
Reports come from manufacturers, hospitals and patients and are not verified by the FDA. A report does not prove the device caused the event, and counts can't be used to compare devices or estimate failure rates. What reports can and can't tell you · How this data works · Data updated Oct 16, 2026.
Reports received per month
Recalls naming this device
- Mar 10, 2025Open, Classified
Nerve Monitoring System with certain software versions has potential for increased stimulus artifact, which may require troubleshooting, and may lead to procedure delay, extubation, and medical intervention.
Z-1623-2025 · Root cause: Software change control · Recall details · FDA record ↗
- Jun 24, 2024Open, Classified
Potential for false negative response on the NIM Vital Nerve Monitoring System
Z-2409-2024 · Root cause: Under Investigation by firm · Recall details · FDA record ↗
Most reported problems
Device problems
- Incorrect, Inadequate or Imprecise Result or Readings158
- False Negative Result57
- Inappropriate Audible Prompt/Feedback38
- Computer Software Problem20
- Application Program Freezes or Fails to Launch15
- False Positive Result13
- Connection Problem7
- Signal Artifact/Noise7
Patient problems
- No Clinical Signs, Symptoms or Conditions241
- Insufficient Information18
- Nerve Damage5
- Paralysis2
- Facial Paralysis1
- Paresis1
Recent adverse event reports
The 25 most recent of 260 reports, in the reporter's own words as published by the FDA.
MalfunctionSep 29, 2026Incorrect, Inadequate or Imprecise Result or Readings
It was reported that the system's PI box "intermittently functions." There is no patient involvement.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 50931068 ↗MalfunctionSep 23, 2026Incorrect, Inadequate or Imprecise Result or Readings
It was reported that, the no nerve stimulation from the NIM Console. There was no patient impact.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 50868017 ↗MalfunctionSep 11, 2026Computer Software Problem; False Negative Result; Application Program Freezes or Fails to Launch
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 50733110 ↗MalfunctionSep 8, 2026Incorrect, Inadequate or Imprecise Result or Readings; Application Program Freezes or Fails to Launch
It was reported that both PI boxes displayed the message "PI Box Faulted." Issue persisted with reboots. Confirmed that the system was plugged into an isolated outlet. There was no patient involvement.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 50661783 ↗MalfunctionAug 28, 2026Incorrect, Inadequate or Imprecise Result or Readings; Inappropriate Audible Prompt/Feedback
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 50502507 ↗MalfunctionAug 27, 2026Inappropriate Audible Prompt/Feedback
It was reported that in a facial nerve monitoring case, there was excessive noise coming from the NIM Vital. There was no known patient impact..
Patient problems: Insufficient Information
MAUDE report 50466409 ↗MalfunctionAug 26, 2026Inappropriate Audible Prompt/Feedback
It was reported that during intra-operative the NIM Console alarm goes off all the time. The issue discovered prior to use on the patient. The procedure was completed with the other NIM system. There was no patient impact.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 50447805 ↗MalfunctionAug 26, 2026Inappropriate Audible Prompt/Feedback
Patient problems: Insufficient Information
MAUDE report 50446673 ↗MalfunctionAug 25, 2026Incorrect, Inadequate or Imprecise Result or Readings
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 50430306 ↗MalfunctionAug 24, 2026Incorrect, Inadequate or Imprecise Result or Readings
Patient problems: Insufficient Information
MAUDE report 50407213 ↗MalfunctionAug 13, 2026Computer Software Problem; Inappropriate Audible Prompt/Feedback
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 50232483 ↗MalfunctionJul 6, 2026Incorrect, Inadequate or Imprecise Result or Readings
IT WAS REPORTED THAT DURING SET-UP, THE NIM CONSOLE HAD INTERMITTENT AND POOR WIRELESS CONNECTION ISSUE. THERE WAS NO PATIENT INVOLVED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 25713459 ↗MalfunctionJul 2, 2026Incorrect, Inadequate or Imprecise Result or Readings
IT WAS REPORTED THAT WHEN THE PHYSICIAN USES MONOPOLOR ELECTROSURGERY, CH1 AND CH2 DISPLAY "OUT OF MEASUREMENT RANGE AND EMG MONITORING DISABLED ." AFTER SWITCHING TO AND USING THE LIGASURE INSTRUMENT, CH1 AND CH2 RETURN TO NORMAL OPERATION. THERE WAS NO PATIENT IMPACT.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 25686707 ↗MalfunctionJun 18, 2026Incorrect, Inadequate or Imprecise Result or Readings
IT WAS REPORTED THAT DURING THYROID CASE, WHEN PROVING THE NERVE ON THE LEFT, NO NERVE TONE SOUNDED. AND IT DID ON THE RIGHT SIDE BEFORE DOCTOR SWITCHED SIDES. THERE WAS NO KNOWN PATIENT IMPACT.
Patient problems: Insufficient Information
MAUDE report 25542929 ↗MalfunctionJun 8, 2026Computer Software Problem; Application Program Freezes or Fails to Launch
IT WAS REPORTED THAT INTRA-OP DURING THYROIDECTOMY PROCEDURE, THE SCREEN FREEZED AND DIDN'T RESPOND ON TOUCHING. SO, THERE WAS NO POSSIBILITY TO MAKE SCREENSHOTS OR ANYTHING ON THE SCREEN. BUT THE NERVE MONITORING DID WORK, SOUNDS AND ALERTS WERE WORKING TOO. THE SURGERY WAS SUCCESSFULLY COMPLETED, BUT WITHOUT SCREENSHOTS FOR DOCUMENTATION. SHUT DOWN VIA THE SOFTWARE AFTER THE SURGERY WASN´T POSSIBLE. THE ISSUE WAS RESOLVED AFTER THE SURGERY, AS THE SYSTEM FUNCTIONED NORMALLY FOLLOWING A RESTART. THERE WAS NO PATIENT IMPACT.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 25424932 ↗MalfunctionJun 5, 2026Computer Software Problem; Inappropriate Audible Prompt/Feedback; Device Misassembled During Manufacturing /Shipping
IT WAS REPORTED THAT DURING PRE-OP, THE NIM VITAL COMPUTER BEGAN FLICKERING AND EMITTING A BEEPING SOUND DURING SHUTDOWN. A HARD SHUTDOWN WAS REQUIRED FOR THE UNIT TO POWER OFF. AFTER REBOOTING, THE ISSUE REOCCURRED ; DISCONNECTED ALL PERIPHERALS AND RESTARTED THE SYSTEM, WHICH INITIALLY RESOLVED THE ISSUE. HOWEVER, AFTER PERFORMING SEVERAL ADDITIONAL REBOOTS TO CONFIRM STABILITY, THE ISSUE PERSISTED. THERE WAS NO PATIENT INVOLVEMENT.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 25403856 ↗MalfunctionMay 29, 2026Incorrect, Inadequate or Imprecise Result or Readings
IT WAS REPORTED THAT PRE-OP, THE NIM VITAL DEVICES WERE NOT WORKING. THERE WAS NO PATIENT INVOLVEMENT.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 25337858 ↗MalfunctionMay 21, 2026Incorrect, Inadequate or Imprecise Result or Readings
IT WAS REPORTED THAT DURING INTRA-OP, PLACED THE STIM ON THE NERVE, BUT GOT NO RESPONSE. THEY DOUBLE CHECKED THE TUBE AND ELECTRODE AND STILL HAD NO RESPONSE. THE USER THEN RESECTED FURTHER ON THE NERVE AND INCREASED THE STIM, STILL GETTING NO RESPONSE. USER REMOVED THE THYROID USING HIS KNOWLEDGE AND CHECKED AGAIN, THIS TIME THE DEVICE WAS GETTING A RESPONSE. TRIVANTAGE TUBE WAS BEING USED. IT WAS A LARGER TUBE THAN IS IDEAL FOR THE SIZE OF THE PATIENT. SURGERY WAS EXTENDED FOR LESS THAN AN HOUR. THERE WAS NO IMPACT TO THE PATIENT. THE USER USED SIZE 7 FOR THE PROCEDURE. THERE WAS NO TROUBLE SHOOTING DONE EXCEPT INCREASING THE STIMULUS, LOWERING THRESHOLD, CHECKING TUBE PLACEMENT, AND ENSURING ELECTRODE WERE PLACED CORRECTLY. FACILITY DID NOT CHANGE THE TUBE MID-CASE.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 25239577 ↗MalfunctionMay 19, 2026Incorrect, Inadequate or Imprecise Result or Readings
IT WAS REPORTED THAT SOMETIMES THE NIM STARTS UP NORMALLY AND SOMETIMES IT DOESN'T PASS THE SELF-TEST OR IT SHOWS PATIENT INTERFACE FAILURE. THERE IS NO PATIENT IMPACT.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 25212585 ↗MalfunctionMay 18, 2026Computer Software Problem
IT WAS REPORTED THAT PREOP WHEN BOOTING THE SYSTEM UP, THE CONSOLE DISPLAYS A LOW BATTERY MESSAGE, AND THE SYSTEM SHUTSDOWN SHORTLY AFTER. THE ISSUE PERSISTED ACROSS MULTIPLE ISOLATED OUTLETS AND AFTER CONNECTION WITH WALLPOWER FOR 4 HOURS. THERE WAS NO PATIENT INVOLVED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 25211862 ↗MalfunctionMay 18, 2026Application Program Freezes or Fails to Launch
IT WAS REPORTED THAT PRIOR TO USE THE NIM CONSOLE FUNCTIONALITY OF NERVE TREND WAS NOT WORKING WELL. THE TIMER WASN'T WORKING. IT REMAINED STUCK AT 11:15 EVEN THOUGH THE PROCEDURE WAS PROGRESSING. THE TROUBLESHOOTING WAS PERFORMED BY RESTARTING BUT ISSUE PERSISTED. THE NIM CONSOLE WAS WELL WORKING, THE ISSUE OCCURRED WHEN THEY TRIED TO DEMONSTRATE THE NEW FUNCTIONALITY NERVE TREND. BUT THE USUAL STIMULATION WAS WORKING WELL AND GIVEN GOOD STIMULATION. THE STIMULUS DELIVERY TONE HEARD WHEN ATTEMPTING TO STIMULATE THE NERVE. WAVEFORM WAS DISPLAYED ON THE MONITOR WHEN ATTEMPTING TO STIMULATE THE NERVE. THE PROCEDURE WAS COMPLETED WITH THE SAME NIM VITAL. THERE WAS NO PATIENT INVOLVED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 25197258 ↗MalfunctionMay 12, 2026Incorrect, Inadequate or Imprecise Result or Readings
IT WAS REPORTED THAT DURING SERVICING, THE SCREEN DISPLAYED "PATIENT INTERFACE FAULT DETECTED. ATTEMPTING TO RESULT. THERE WAS NO PATIENT INVOLVEMENT.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 25148815 ↗MalfunctionMay 8, 2026Inappropriate Audible Prompt/Feedback
IT WAS REPORTED THAT THE NIM SYSTEM EXHIBITED CONTINUOUS 'DETECTION' WITH NO APPARENT REASON. CHANGING THE SENSITIVITY THRESHOLD APPEARED TO HAVE NO EFFECT, AND AFTER SEVERAL MINUTES THE SYSTEM RETURNED TO 'NORMAL' OPERATION,WHICH RAISES DOUBTS ABOUT ITS RELIABILITY FOR ITS INTENDED USE.THERE WAS NO PATIENT IMPACT.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 25123145 ↗MalfunctionMay 6, 2026Incorrect, Inadequate or Imprecise Result or Readings
IT WAS REPORTED THAT DURING SET UP PATIENT INTERFACE WAS NOT CONNECTING BOTH WIRED AND WIRELESS TO THE CONSOLE. THERE WAS NO PATIENT INVOLVED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 25090576 ↗MalfunctionMay 4, 2026Incorrect, Inadequate or Imprecise Result or Readings; Communication or Transmission Problem
IT WAS REPORTED THAT NIM VITAL HAD LOSS OF CONNECTION. ALSO, NOT MUTING WHEN MONOPOLAR WAS ACTIVATED AND DISPLAYED LEAD OFF ERROR MESSAGE. THERE WAS NO PATIENT IMPACT.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 25064702 ↗
Recalls under the same FDA submission
These recalls involve devices cleared under K200759. One submission often covers many models, so check the product and lot details in each record.
- Z-1223-2022 · May 3, 2022 · Open, ClassifiedNIM Vital Console 4.0 (P/N: NIM4CM01) NIM with Software version 1.3.2
- Z-1224-2022 · May 3, 2022 · Open, ClassifiedNIM Vital Patient Interface 4.0 (P/N: NIM4CPB1) NIM with Software version 1.3.2
Other STIMULATOR, NERVE devices
- NIM TriVantage® 8229707Medtronic Xomed, Inc. · STIMULATOR, NERVE2 recalls176 reports
- NIM® 8229306Medtronic Xomed, Inc. · STIMULATOR, NERVE1 recall1 death167 reports
- NIM Vital™ NIM4CPB1Medtronic Xomed, Inc. · STIMULATOR, NERVE3 recalls45 reports
- NIM Trivantage® 8229707Medtronic Xomed, Inc. · STIMULATOR, NERVE1 recall142 reports
- NIM® 8229307Medtronic Xomed, Inc. · STIMULATOR, NERVE1 recall138 reports
- NIM TriVantage® 8229706Medtronic Xomed, Inc. · STIMULATOR, NERVE2 recalls78 reports
- NIM-Response® 8253002Medtronic Xomed, Inc. · STIMULATOR, NERVE171 reports
- NIM-Response® 8253001Medtronic Xomed, Inc. · STIMULATOR, NERVE154 reports
Sources and updates
- Device record: FDA GUDID, file dated Oct 13, 2026 · View this device in AccessGUDID ↗
- Adverse event reports: FDA MAUDE, file dated Oct 14, 2026 · each report above links to its original FDA record
- Recalls: FDA Medical Device Recalls, file dated Oct 16, 2026 · each recall links to the FDA recall notice
- Page last rebuilt: Oct 16, 2026. Data downloaded through openFDA, which notes it is not validated for clinical or regulatory use.
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