FDA Adverse Event Malfunction Summary report: N

STEALTHSTATION S7 SYSTEM

MDR report key: 2021373 · Received February 8, 2011

Report

Report Number
1723170-2011-00096
Event Type
Malfunction
Date Received
February 8, 2011
Date of Event
January 10, 2011
Report Date
January 10, 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

THE DEVICE HAS NOT BEEN RETURNED TO THE MANUFACTURER.

Description of Event or Problem · 1

A MEDTRONIC REPRESENTATIVE REPORTED THAT IN A SYNERGY CRANIAL CASE, THE REGISTRATION WAS FLIPPED L/R WITH TOUCH-N-GO. THE MEDTRONIC REP NOTED THAT THE FIDUCIALS WERE NOT SYMMETRICAL AND THEY SKIPPED AROUND WHEN TOUCHING THEM. THE SURGEON OPTED TO CONTINUE THE USE OF THE STEALTHSTATION TO COMPLETE THE SURGERY. THERE WAS NO IMPACT ON THE PATIENT OUTCOME.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 STEALTHSTATION S7 SYSTEM STEREOTAXIC INSTRUMENT (HAW) HAW MEDTRONIC NAVIGATION, INC. S7 NA

Patients

Seq Age Sex Outcome Treatment
1 59 YR