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 |