FDA Adverse Event Other Summary report: N

STEALTHSTATION S7 TREATMENT GUIDANCE SYSTEM

MDR report key: 1744640 · Received June 29, 2010

Report

Report Number
1723170-2010-00033
Event Type
Other
Date Received
June 29, 2010
Date of Event
June 1, 2010
Report Date
June 1, 2010
Manufacturer
MEDTRONIC NAVIGATION
Product Code
HAW
PMA / PMN Number
K050438
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CO, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

PATIENT INFORMATION WAS NOT AVAILABLE AT THE TIME OF THIS REPORT BUT HAS BEEN REQUESTED. DEVICE WAS INVESTIGATED ON-SITE AND INACCURACY WAS NOT REPEATABLE ON A TEST MODEL. SYSTEM WAS ACCURATE.

Description of Event or Problem · 1

DOCTOR REPORTS THAT THE LAST 2 BIOPSIES HE TOOK RESULTED IN NON-DIAGNOSTIC TISSUE BEING TAKEN. THE STEALTH STATION S7 WAS USED. THERE WAS NO IMPACT TO THE PATIENT. THE MEDTRONIC SALES REPRESENTATIVE TESTED SYSTEM AND COULD NOT REPLICATE ISSUE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 STEALTHSTATION S7 TREATMENT GUIDANCE SYSTEM STEREOTAXIC INSTRUMENT (HAW) HAW MEDTRONIC NAVIGATION S7 NA

Patients

Seq Age Sex Outcome Treatment
1 UNK