FDA Adverse Event Malfunction Summary report: N

STEALTHSTATION TREON TREATMENT GUIDANCE SYSTEM

MDR report key: 1942051 · Received November 9, 2010

Report

Report Number
1723170-2010-00077
Event Type
Malfunction
Date Received
November 9, 2010
Date of Event
October 11, 2010
Report Date
October 11, 2010
Manufacturer
MEDTRONIC NAVIGATION, INC.
Product Code
HAW
PMA / PMN Number
K050438
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TN, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

PATIENT INFORMATION WAS NOT AVAILABLE AT TIME OF THIS REPORT, BUT HAS BEEN REQUESTED. SYSTEM INVESTIGATION IS ON-GOING AND RESULTS WILL BE REPORTED UPON COMPLETION.

Description of Event or Problem · 1

MEDTRONIC REPRESENTATIVE REPORTED THAT THE SITE FELT INACCURATE DURING A CASE WHERE THEY REGISTERED THE PATIENT WITH POINTMERGE AND SURFACE MERGE. THE DOCTOR PROCEEDED WITHOUT THE STEALTHSTATION. THERE WAS NO IMPACT TO PATIENT.

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