FDA Adverse Event Malfunction Summary report: N

STEALTHSTATION S8 PREMIUM SYSTEM

MDR report key: 10127750 · Received June 8, 2020

Report

Report Number
1723170-2020-01606
Event Type
Malfunction
Date Received
June 8, 2020
Date of Event
June 2, 2020
Report Date
June 8, 2020
Manufacturer
MEDTRONIC NAVIGATION, INC
Product Code
HAW
UDI-DI
00643169722187
PMA / PMN Number
K162309
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CO, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 1

CONCOMITANT MEDICAL PRODUCTS: PRODUCT ID: 9735821, SERIAL/LOT #: (B)(4). A MEDTRONIC REPRESENTATIVE WENT TO THE SITE TO TEST THE EQUIPMENT. IT WAS REPORTED THAT THE CAMERA (POSITIONING SENSOR UNIT ( PSU)) OF THE NAVIGATION SYSTEM WAS REPLACED. THE HARDWARE, SOFTWARE, AND INSTRUMENTS PASSED THE SYSTEM CHECKOUT. THE SYSTEM WAS FOUND TO BE FULLY FUNCTIONAL. THE CAMERA (POSITIONING SENSOR UNIT (PSU)) WAS RETURNED TO THE MANUFACTURER FOR ANALYSIS. THE REPORTED ISSUE WAS CONFIRMED AS THE DIAGNOSTIC TEST(S) FAILED. THIS ISSUE WAS DOCUMENTED IN A MEDTRONIC NAVIGATION HARDWARE ANOMALY TRACKING DATABASE. IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem · 1

MEDTRONIC RECEIVED INFORMATION REGARDING A NAVIGATION SYSTEM. IT WAS REPORTED THAT THE SYSTEM FAILED THE FAILED "AAK" ACCURACY TEST DURING PREVENTATIVE MAINTENANCE/SYSTEM SERVICING. NO PATIENT PRESENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
590927 STEALTHSTATION S8 PREMIUM SYSTEM INSTRUMENT, STEREOTAXIC HAW MEDTRONIC NAVIGATION, INC 9735665 00643169722187

Patients

Seq Age Sex Outcome Treatment
1