FDA Adverse Event Malfunction Summary report: N

LANDMARX EVOLUTION

MDR report key: 2040347 · Received February 15, 2011

Report

Report Number
1723170-2011-00649
Event Type
Malfunction
Date Received
February 15, 2011
Date of Event
February 17, 2011
Report Date
February 17, 2011
Manufacturer
MEDTRONIC NAVIGATION, INC.
Product Code
HAW
PMA / PMN Number
K050438
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

PT INFO NOT PROVIDED AS NO PT WAS INVOLVED IN THIS CONCERN. RMA ISSUED. A CONTINUITY TEST REVEALED AN OPEN FROM PIN 11 OF THE 12 PIN LEMO CONNECTOR TO PIN 2 OF THE DB9 CONNECTOR. WHILE NO PT WAS PRESENT, THIS ISSUE IS BEING REPORTED BECAUSE IF THIS ISSUE OCCURRED DURING SURGERY, IT COULD LEAD TO AN UNEXPECTED LOSS OF NAVIGATION, WHICH COULD LEAD TO PT HARM.

Description of Event or Problem · 1

A SITE REP, CLINICAL ENGINEER, REPORTED THAT THE CAMERA WAS CONTINUOUSLY CYCLING ON THEIR LANDMARX EVOLUTION SYSTEM. THE CABLE CONNECTION TO THE CAMERA LOOKED FULLY SEATED WITH NO VISIBLE DAMAGE TO THE CABLE. NO PT PRESENT, THIS WAS FOUND BEFORE THE START OF THE CASE.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1 NONE