FDA Adverse Event
Malfunction
Summary report: N
STEALTHSTATION TREON TREATMENT GUIDANCE SYSTEM
MDR report key: 2201183
·
Received July 29, 2011
Report
- Report Number
- 1723170-2011-01259
- Event Type
- Malfunction
- Date Received
- July 29, 2011
- Date of Event
- July 7, 2011
- Report Date
- July 7, 2011
- Manufacturer
- MEDTRONIC NAVIGATION, INC.
- Product Code
- HAW
- PMA / PMN Number
- K050438
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NE, US
- Reporter Occupation
- NURSE
Narratives
Additional Manufacturer Narrative · 1
SOFTWARE HAS NOT BEEN EVALUATED AS OF THE DATE OF THIS REPORT.
Description of Event or Problem · 1
A SITE REPRESENTATIVE, RN, REPORTED THAT THE SURGEON WAS UNABLE TO VERIFY THE RIGHT TACTILE AWL WHILE IN A SPINE PROCEDURE. THE SURGEON WAS ABLE TO REGISTER THE REGISTRATION PROBE AND COMPLETE A SUCCESSFUL REGISTRATION. NEXT SHOWED THE RIGHT TACTILE AWL TO THE CAMERA AND THE SOFTWARE DID NOT CHANGE TO THE TACTILE AWL SO THEY MANUALLY SELECTED IT, HOWEVER, IT REMAINED AT RED STATUS. WHILE TROUBLESHOOTING WITH MEDTRONIC REPRESENTATIVE, THE SURGEON DECIDED TO CONTINUE THE SURGERY WITHOUT THE STEALTHSTATION TREON GUIDANCE SYSTEM AND DISCONTINUE TROUBLESHOOTING EFFORTS. THE SURGERY WAS COMPLETED WITH NO IMPACT ON THE PT OUTCOME.
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 | 73 YR |