FDA Adverse Event
Malfunction
Summary report: N
STEALTHSTATION TRIA NAVIGATION SYSTEM
MDR report key: 2081286
·
Received April 21, 2011
Report
- Report Number
- 1723170-2011-00821
- Event Type
- Malfunction
- Date Received
- April 21, 2011
- Date of Event
- February 11, 2010
- Report Date
- May 6, 2010
- Manufacturer
- MEDTRONIC NAVIGATION, INC.
- Product Code
- HAW
- PMA / PMN Number
- K001153
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CO, US
- Reporter Occupation
- NOT APPLICABLE
Narratives
Additional Manufacturer Narrative · 1
MEDTRONIC REP BROUGHT IN PORTABLE INAV SYS TO COMPETE CASE AS SITE WAS HAVING ISSUES WITH THE MONITOR ON THE TRIA SYS. SURGERY COMPETED WITH NO IMPACT ON PT OUTCOME.
Description of Event or Problem · 1
A MEDTRONIC REP REPORTED INTERMITTENT TRACKING ISSUES DURING A BIOPSY PROCEDURE. THE BIOPSY WAS TAKEN SUCCESSFULLY AND THERE WAS NO IMPACT ON THE OUTCOME OF THE PT AS A RESULT OF THE EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | STEALTHSTATION TRIA NAVIGATION SYSTEM | STEREOTAXIC INSTRUMENT (HAW) | HAW | MEDTRONIC NAVIGATION, INC. | TRIA | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |