FDA Adverse Event Malfunction Summary report: N

STEALTHSTATION I7 INTEGRATED NAVIGATION SYSTEM

MDR report key: 2193644 · Received July 13, 2011

Report

Report Number
1723170-2011-01227
Event Type
Malfunction
Date Received
July 13, 2011
Date of Event
July 5, 2011
Report Date
July 5, 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

MEDTRONIC REPRESENTATIVE PROVIDED ADDITIONAL INSTRUCTIONS TO IMPROVE PRONE REGISTRATION EXPERIENCE. THE SOFTWARE HAS NOT BEEN EVALUATED AS OF THE DATE OF THIS REPORT.

Description of Event or Problem · 1

A MEDTRONIC REPRESENTATIVE REPORTED DURING A CASE THE INITIAL REGISTRATION WAS A 2.1 AND WAS VISIBLY ACCURATE WHEN CHECKING THE LEFT/RIGHT MASTOID FIDUCIALS AND THE ENYON. THE PATIENT HAD TO BE REPOSITIONED BECAUSE THE LOWER IMRI COIL WOULDN'T FIT UNDER THE PATIENT'S FACE AND RE-REGISTRATION WAS NECESSARY. THE SECOND POINT MERGE REGISTRATION WAS 2.5 AND WAS VISIBLY OFF BY A CENTIMETER WHEN CHECKING THE MASTOID FIDUCIALS. TRACER WAS ATTEMPTED BUT MORE INACCURATE BECAUSE PATIENT'S HEAD WAS TUCKED UNDER, FACIAL ANATOMY HARD TO GET TO, AND THICK DRAPING HAIR WAS A CONSTANT OBSTACLE. THEY REVERTED BACK TO POINT MERGE AND GOT DOWN TO A 2.4 REGISTRATION AND THE MASTOID FIDUCIALS AND ENYON FINALLY, ONCE AGAIN, LOOKED ACCURATE SO THE CASE PROCEEDED AS PLANNED. THE CASE WENT WELL. NO IMPACT ON PATIENT OUTCOME WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 STEALTHSTATION I7 INTEGRATED NAVIGATION SYSTEM STEREOTAXIC INSTRUMENT (HAW) HAW MEDTRONIC NAVIGATION, INC. I7 NA

Patients

Seq Age Sex Outcome Treatment
1 14 YR