FDA Adverse Event Malfunction Summary report: N

STEALTHSTATION TREON TREATMENT GUIDANCE SYSTEM

MDR report key: 2152474 · Received June 28, 2011

Report

Report Number
1723170-2011-01161
Event Type
Malfunction
Date Received
June 28, 2011
Date of Event
June 9, 2011
Report Date
June 9, 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

PT'S WEIGHT IS UNAVAILABLE FROM THE SITE. NO PART HAS BEEN RETURNED. RMA SUBMITTED FOR REPLACEMENT BREAK OUT BOX.

Description of Event or Problem · 1

A MEDTRONIC REP REPORTED THAT THEY WERE ABLE TO TRACK THE O-ARM TRACKER AND INSTRUMENTS BUT UNABLE TO TRACK THE ACTIVE SPINE FRAME. THEY TRIED AN ADDITIONAL ACTIVE SPINE FRAME; NO EFFECT. THEY THEN BROUGHT IN ANOTHER CAMERA WHICH WAS ABLE TO TRACK THE FRAME AND THE CASE PROCEEDED AS PLANNED. NO IMPACT ON PT OUTCOME WAS REPORTED.

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 41 YR