FDA Adverse Event Malfunction Summary report: N

STEALTHSTATION S7 SYSTEM

MDR report key: 2172130 · Received June 24, 2011

Report

Report Number
1723170-2011-01152
Event Type
Malfunction
Date Received
June 24, 2011
Date of Event
June 7, 2011
Report Date
June 7, 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

RMA ISSUED FOR CAMERA AND CABLE. MEDTRONIC INVESTIGATION FINDS THAT WHEN CONNECTED TO KNOWN GOOD SYSTEM, THE PSU PERFORMED AS EXPECTED. WAS ABLE TO LOAD AN EXAM, VERIFY INSTRUMENTS, BOTH ACTIVE AND PASSIVE, AND TRACK IN NAVIGATION WITHOUT ISSUE. DID NOT EVER SEE A RED X ON ANY INSTRUMENTS, BUT A RED X APPEARS ON THE CAMERA BUTTON BEFORE THE INSTRUMENTS ARE VERIFIED. THE PSU SUBSEQUENTLY PASSED THE AAK TEST AT .12MM. PSU WAS FOUND TO BE FULLY FUNCTIONAL. THE CABLE PASSED A CONTINUITY TEST WITH NO OPENS OR SHORTS DETECTED. ISSUE COULD NOT BE REPLICATED. NO PROBLEMS FOUND.

Description of Event or Problem · 1

A MEDTRONIC REPRESENTATIVE REPORTED THE SURGEON IS ABLE TO REGISTER INSTRUMENTS AND THEN THEY TRACK INTERMITTENTLY. THE SOFTWARE SHOWS RED X ON ALL INSTRUMENTS. THE SURGEON COMPLETED THE PROCEDURE WITH THE USE OF THE STEALTHSTATION S7 AFTER REBOOTING THE SYSTEM. THERE WAS NO IMPACT ON THE PATIENT OUTCOME.

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 14 YR