FDA Adverse Event
Malfunction
Summary report: N
CRW STEREOTACTIC SYSTEM CRW FRAME
MDR report key: 19311212
·
Received May 13, 2024
Report
- Report Number
- MW5154811
- Event Type
- Malfunction
- Date Received
- May 13, 2024
- Date of Event
- May 9, 2024
- Report Date
- May 9, 2024
- Manufacturer
- INTEGRA LIFESCIENCES CORPORATION
- Product Code
- HAW
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
ERROR IN CRW INTEGRA DEVICE. WE PERFORMED NUMEROUS PHANTOM TESTS AND HAVE CONCLUDED THAT THE LOCALIZER HAS A MISMATCH OF 0.6MM VERTICAL RELATIVE TO THE BRWLF SPACE. THE BRWLF(BRW LOCALIZER FRAME) GEOMETRY MAY MISMATCH BRAINLAB ELEMENTS DATA AS A CONTRIBUTOR. WE SEE A VERTICAL DIFFERENCE BETWEEN RADIONICS SOFTWARE AND BRAINLAB. THE DATA SUGGESTS THAT EITHER ON MANUFACTURING SIDE OR SOFTWARE SIDE THERE IS AROUND A 0.5MM VERTICAL PROBLEM THAT NEEDS TO BE FIXED ACROSS INTEGRA, BRAINLAB, PHANTOM, PRECISION ARC, AND BRW LOCALIZER FRAME.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1547762 | CRW STEREOTACTIC SYSTEM CRW FRAME | NEUROLOGICAL STEREOTAXIC INSTRUMENT | HAW | INTEGRA LIFESCIENCES CORPORATION |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 1 MO | Prefer Not To Disclose | Other |