FDA Adverse Event Malfunction Summary report: N

STEALTHSTATION TREON TREATMENT GUIDANCE SYSTEM

MDR report key: 2020594 · Received February 10, 2011

Report

Report Number
1723170-2011-00108
Event Type
Malfunction
Date Received
February 10, 2011
Date of Event
January 13, 2011
Report Date
January 13, 2011
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

NO PATIENT INFORMATION AS NO PATIENT WAS INVOLVED IN THIS CONCERN. RMA ISSUED. SYSTEM EVALUATION HAS NOT YET BEEN COMPLETED.

Description of Event or Problem · 1

MEDTRONIC REPRESENTATIVE REPORTED THE SYSTEM IS CYCLING/BEEPING. AFTER TROUBLESHOOTING WITH MEDTRONIC TECHNICAL SERVICES, IT WAS DETERMINED THAT PARTS WILL NEED TO BE REPLACED. THERE WAS NO PATIENT PRESENT.

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 NONE