FDA Adverse Event Malfunction Summary report: N

STEALTHSTATION S7 SYSTEM

MDR report key: 2152557 · Received June 27, 2011

Report

Report Number
1723170-2011-01157
Event Type
Malfunction
Date Received
June 27, 2011
Date of Event
June 13, 2011
Report Date
June 13, 2011
Manufacturer
MEDTRONIC NAVIGATION, INC.
Product Code
HAW
PMA / PMN Number
K050438
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AZ, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

THE SOFTWARE HAS NOT BEEN EVALUATED AS OF THE DATE OF THIS REPORT.

Description of Event or Problem · 1

A MEDTRONIC REP REPORTED A 2-3MM INACCURACY DURING A CASE WITH THE S7 NAVIGATION SYSTEM. NO IMPACT ON THE PT'S OUTCOME WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 STEALTHSTATION S7 SYSTEM STEREOTAXIC INSTRUMENT (HAW) HAW MEDTRONIC NAVIGATION, INC. S7 NA

Patients

Seq Age Sex Outcome Treatment
1 76 YR