FDA Adverse Event Malfunction Summary report: N

STEALTHSTATION TREON TREATMENT GUIDANCE SYSTEM

MDR report key: 1960424 · Received December 16, 2010

Report

Report Number
1723170-2010-00183
Event Type
Malfunction
Date Received
December 16, 2010
Date of Event
August 11, 2010
Report Date
August 11, 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

THE SYSTEM WAS EVALUATED AT THE SITE. THE SYSTEM WAS FULLY FUNCTIONAL AND THE SYSTEM CHECKOUT SHOWED NO ANOMALIES. THE SOFTWARE INVESTIGATION FOUND THAT THE SYSTEM BEHAVED AS DESIGNED. INFORMATION WAS PROVIDED TO THE CUSTOMER REGARDING PROPER SYSTEM SETUP.

Description of Event or Problem · 1

A MEDTRONIC REPRESENTATIVE REPORTED THAT THE SURGEON ALLEGED AN INACCURACY WHILE NAVIGATING WITH THE SYSTEM IN A CRANIAL SURGERY. SURGEON CONTINUED USE OF THE SYSTEM AND COMPLETED THE SURGERY. THERE WAS NO HARM TO THE PATIENT.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1 UNK