FDA Adverse Event Malfunction Summary report: N

STEALTHSTATION¿ S8 SYSTEM

MDR report key: 19575480 · Received June 20, 2024

Report

Report Number
1723170-2024-01515
Event Type
Malfunction
Date Received
June 20, 2024
Date of Event
June 12, 2024
Report Date
June 20, 2024
Manufacturer
MEDTRONIC NAVIGATION, INC
Product Code
HAW
UDI-DI
00643169722187
PMA / PMN Number
K162309
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
VA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

CONTINUATION OF D10: PRODUCT ID: 9735821, LOT NUMBER: P900545 H3, H6: THE SYSTEM WAS SERVICED IN THE FIELD AND THE CAMERA WAS REPLACED. B01, C08, AND D02 ARE APPLICABLE. THE CAMERA (PRODUCT ID: 9735821, LOT NUMBER: P900545) WAS RECEIVED BY THE MANUFACTURER FOR ANALYSIS. AN ELECTRICAL FAILURE WAS CONFIRMED. THE RETURNED POSITIONING SENSOR UNIT (PSU) HAS MANY NICKS AND SCRATCHES ON THE HOUSING AND LENSES. A CHECK OF THE EVENT LOG SHOWED INTERMITTENT FIRMWARE INCOMPATIBILITY DATING BACK TO MAY 2018, AND INTERMITTENT ILLUMINATOR CURRENT LOW DATING BACK TO MAY 2020. THERE WAS A BATTERY VOLTAGE LOW MESSAGE ALONG WITH BUMP DETECTED AND STORAGE TEMPERATURE EXCEEDED. THE PSU FAILED AN ACCURACY TEST (AAK) AT .492MM WITH A PASSING THRESHOLD OF .250MM. B01, C02, C08, AND D02 ARE APPLICABLE. MEDTRONIC SUBMITS THIS REPORT TO COMPLY WITH FDA REGULATIONS 21 CFR PARTS 4 AND 803. MEDTRONIC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEE CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.

Description of Event or Problem · 0

MEDTRONIC RECEIVED INFORMATION REGARDING A NAVIGATION SYSTEM BEING USED OUTSIDE OF A PROCEDURE. IT WAS REPORTED THAT THE SYSTEM HAD A LOCALIZER FAULTED ERROR. THERE WAS NO PATIENT INVOLVEMENT. THE BUMP AND INTERNAL TEMPERATURE EXCEEDED WERE ERRONEOUS. THERE WAS NO PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1511150 STEALTHSTATION¿ S8 SYSTEM NEUROLOGICAL STEREOTAXIC INSTRUMENT HAW MEDTRONIC NAVIGATION, INC 9735665 00643169722187

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown SEE H11...