FDA Adverse Event Malfunction Summary report: N

STEALTHSTATION TREON TREATMENT GUIDANCE SYSTEM

MDR report key: 2152472 · Received June 28, 2011

Report

Report Number
1723170-2011-01159
Event Type
Malfunction
Date Received
June 28, 2011
Date of Event
June 13, 2011
Report Date
June 14, 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

EXAM NOT NEEDED. ERROR WAS DUE TO REFERENCE FRAME MOVEMENT.

Description of Event or Problem · 1

A MEDTRONIC REP REPORTED THAT DURING A T4-T11 SCOLI O-ARM NAVIGATED FUSION PROCEDURE. THE SURGEON NOTICED A 3MM INACCURACY WITH THE NAVIGATION SUPERIOR AND LATERALLY. THE SURGEON OPTED TO STOP USING NAVIGATION FOR THE ONE FINAL SCREW AND PLACED IT WITH FLUORO. THEY USED FLUORO AND NIM MONITORING TO TEST ALL NAVIGATED SCREW PLACEMENTS AND HE CONFIRMED THEY WERE ALL GOOD.

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 15 YR O ARM 1000 IMAGING SYSTEM