FDA Adverse Event Other Summary report: N

STEALTHSTATION TREON SYSTEM

MDR report key: 1757047 · Received July 13, 2010

Report

Report Number
1723170-2010-00030
Event Type
Other
Date Received
July 13, 2010
Date of Event
June 30, 2010
Report Date
July 1, 2010
Manufacturer
MEDTRONIC NAVIGATION
Product Code
HAW
PMA / PMN Number
K050438
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CO, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

DEVICE EVALUATED ON SITE BY A MEDTRONIC EMPLOYEE. AT THE TIME OF THIS REPORT, ACCURACY ISSUE CANNOT BE DUPLICATED.

Description of Event or Problem · 1

INACCURATE SPINE SCREW PLACEMENT REPORTED (B)(6) 2010 FOR PROCEDURE ON (B)(6) 2010 DURING SURGERY WITH THE STEALTHSTATION TREON SYSTEM AND O ARM SYSTEM. SURGEON OPERATED ON L4 AND L5; TWO SCREWS WERE PLACED ACCURATELY AND THEN AFTER SWITCHING SIDES, THE THIRD SCREW WAS PLACED INACCURATELY, WENT INTO THE DISC SPACE AND HIT A NERVE. THE NERVE WENT TO THE RIGHT FOOT, HOWEVER, THE PT JUST HAD THEIR RIGHT LEG AMPUTATED BELOW THE KNEE. THE SURGEON REPORTED THAT NAVIGATION WAS INACCURATE TO THE LEFT.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1 30 YR Required Intervention O-ARM SYSTEM