FDA Adverse Event Malfunction Summary report: N

STEALTHSTATION TREON TREATMENT GUIDANCE SYSTEM

MDR report key: 2240837 · Received August 16, 2011

Report

Report Number
1723170-2011-01291
Event Type
Malfunction
Date Received
August 16, 2011
Date of Event
July 22, 2011
Report Date
July 22, 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

DEVICE MFR DATE UNAVAILABLE AT TIME OF THIS REPORT. SOFTWARE INVESTIGATION COMPLETED, THE MEDTRONIC REP COULD NOT REPLICATE THE ISSUE. INSUFFICIENT INFO TO DETERMINE ROOT CAUSE. SYSTEM IS REPORTED TO BE PERFORMING AS DESIGNED. NO FURTHER ISSUES REPORTED.

Description of Event or Problem · 1

A MEDTRONIC REP REPORTED A SOFTWARE FREEZE THAT OCCURRED WHILE THE SITE WAS TRYING TO EXIT THE SYNERGY SPINE 2.0 APPLICATION. THE EXIT BUTTON WAS SELECTED, THE SCREEN THEN FROZE AND BECAME DISTORTED, EVERYTHING ON THE DISPLAY APPEARED FUZZY. THE SITE PERFORMED A HARD BOOT-DOWN TO POWER OFF THE SYSTEM. THE EVENT OCCURRED AFTER THE CASE WAS COMPLETE, 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