CART 9734056 S7 STAFF SHRT 100-120V INTL
Report
- Report Number
- 1723170-2025-03468
- Event Type
- Malfunction
- Date Received
- October 15, 2025
- Date of Event
- August 1, 2025
- Report Date
- October 30, 2025
- Manufacturer
- MEDTRONIC NAVIGATION, INC.
- Product Code
- HAW
- UDI-DI
- 00643169029750
- PMA / PMN Number
- K050438
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- JA
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
H2: CORRECTION TO CONTINUATION OF D10 IN INITIAL REGULATORY REPORT SUBMITTED FOR THIS EVENT (1723170-2025-03468): SECTION D INFORMATION REFERENCES THE MAIN COMPONENT OF THE SYSTEM. OTHER RELEVANT DEVICE(S) ARE: PRODUCT ID: 9733438, SERIAL/LOT#: (B)(6), UDI#: (B)(4); PRODUCT ID: 9731460, PRODUCT ID: 9733823, H2: PLEASE SEE THE ADDITIONAL CODES SECTION FOR NEW ANNEX G CODES. ANNEX G CODE G02004 REPRESENTS PRODUCT ID: 9733823. ANNEX G CODE G04068 REPRESENTS PRODUCT ID: 9731460. MEDTRONIC SUBMITS THIS REPORT TO COMPLY WITH FDA REGULATIONS 21 CFR PARTS 4 AND 803. MEDTRONIC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEE CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. ANY REQUIRED FIELDS THAT ARE UNPOPULATED ARE BLANK BECAUSE THE INFORMATION IS CURRENTLY UNKNOWN OR UNAVAILABLE. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.
H3,H6: THE RETURNED CABLE 9733823, LOT NUMBER: 160413, UDI: (B)(4) HAD NO APPARENT PHYSICAL DAMAGE AND PASSED A CONTINUITY TEST WITH NO OPENS OR SHORTS DETECTED. NO PROBLEM WAS FOUND. CODE C19, D14 AND PREVIOUSLY REPORTED CODE B01 ARE APPLICABLE TO THIS ANALYSIS. MEDTRONIC SUBMITS THIS REPORT TO COMPLY WITH FDA REGULATIONS 21 CFR PARTS 4 AND 803. MEDTRONIC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEE CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. ANY REQUIRED FIELDS THAT ARE UNPOPULATED ARE BLANK BECAUSE THE INFORMATION IS CURRENTLY UNKNOWN OR UNAVAILABLE. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.
CONTINUATION OF D10: SECTION D INFORMATION REFERENCES THE MAIN COMPONENT OF THE SYSTEM. OTHER RELEVANT DEVICE(S) ARE: PRODUCT ID: 9733438, SERIAL/LOT #: (B)(6), UBD: , UDI#: (B)(4). H3, H6: A MANUFACTURER REPRESENTATIVE WENT TO THE SYSTEM TO TEST THE EQUIPMENT. THE MICRO COMMUNICATION CABLE AND THE CAMERA WERE REPLACED. CODES B01, C08, C13, AND D02 ARE APPLICABLE TO THIS ANALYSIS. H3, H6: THE CAMERA WAS RETURNED TO THE MANUFACTURER FOR ANALYSIS. A CHECK OF THE EVENT LOG SHOWED INTERMITTENT POSITION SENSOR CURRENT OUT OF RANGE. OTHERWISE, THE CAMERA WAS FOUND TO BE FULLY FUNCTIONAL ON THE TEST BENCH DURING TESTING. CODES B01, C02, AND D02 ARE APPLICABLE TO THIS ANALYSIS. MEDTRONIC SUBMITS THIS REPORT TO COMPLY WITH FDA REGULATIONS 21 CFR PARTS 4 AND 803. MEDTRONIC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEE CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. ANY REQUIRED FIELDS THAT ARE UNPOPULATED ARE BLANK BECAUSE THE INFORMATION IS CURRENTLY UNKNOWN OR UNAVAILABLE. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.
MEDTRONIC RECEIVED INFORMATION REGARDING A NAVIGATION SYSTEM BEING USED DURING A CRANIAL RESECTION PROCEDURE. IT WAS REPORTED THAT DURING THE NAVIGATION SYSTEM AND SCOPE LINK, THE BRACKET WAS RECOGNIZED AND COMMUNICATED WELL AT THE BEGINNING OF THE OPERATION, BUT A RECOGNITION DEFECT OCCURRED IN THE BRACKET. THE DEVICE DID NOT RESPOND AT ALL, SO COMMUNICATION WAS POOR. THERE WAS NO RESPONSE EVEN WHEN THE DEVICE WAS RESTARTED. THE OPERATION WAS COMPLETED WITHOUT A LINK. THEY COULD NOT USE THE MICRO BRACKET. THIS ISSUE CAUSED NO SURGICAL DELAY. THERE WAS NO REPORTED IMPACT ON PATIENT OUTCOME.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2337701 | CART 9734056 S7 STAFF SHRT 100-120V INTL | NEUROLOGICAL STEREOTAXIC INSTRUMENT | HAW | MEDTRONIC NAVIGATION, INC. | 9734056 | 00643169029750 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |