FDA Adverse Event Malfunction Summary report: N

STEALTHSTATION TREON TREATMENT GUIDANCE SYSTEM

MDR report key: 1935861 · Received December 3, 2010

Report

Report Number
1723170-2010-00133
Event Type
Malfunction
Date Received
December 3, 2010
Date of Event
November 3, 2010
Report Date
November 3, 2010
Manufacturer
MEDTRONIC NAVIGATION, INC.
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

PT INFO NOT AVAILABLE AT TIME OF THIS REPORT. THE DEVICE HAS NOT BEEN RETURNED TO THE MFR.

Description of Event or Problem · 1

A MEDTRONIC REP REPORTED DURING AN ER CASE, USING THE WIRELESS FLUORO TRACKER, THEY COULD NOT ACQUIRE A LATERAL IMAGE. THERE WAS NO IMPACT TO OUTCOME OF THE PT.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1 UNK