FDA Adverse Event Malfunction Summary report: N

STEALTHSTATION TREON TREATMENT GUIDANCE SYSTEM

MDR report key: 2161001 · Received June 17, 2011

Report

Report Number
1723170-2011-01106
Event Type
Malfunction
Date Received
June 17, 2011
Date of Event
May 26, 2011
Report Date
May 26, 2011
Manufacturer
MEDTRONIC NAVIGATION, INC.
Product Code
HAW
PMA / PMN Number
K050438
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

DEVICE MANUFACTURE DATE IS UNK. PART NOT RETURNED.

Description of Event or Problem · 1

A SURGEON REPORTED THAT HE HAD NOTICED A DIFFERENCE BETWEEN THE LEFT AND THE RIGHT SIDE OF THE IMAGE OF THE SPINE WHILE CHECKING THE ACCURACY OF THE FLOUROMERGE SYSTEM. THIS EVENT DID NOT OCCUR DURING SURGERY AND NO PT WAS PRESENT.

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 UNK