FDA Adverse Event Malfunction Summary report: N

NAVLOCK

MDR report key: 23304004 · Received October 15, 2025

Report

Report Number
1723170-2025-03470
Event Type
Malfunction
Date Received
October 15, 2025
Date of Event
July 22, 2025
Report Date
October 15, 2025
Manufacturer
MEDTRONIC NAVIGATION, INC.
Product Code
KCT
UDI-DI
00653159011696
PMA / PMN Number
K960738
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

H3, H6: THE CONTAINER, LOT NUMBER: 2031696, WAS RETURNED TO THE MANUFACTURER FOR ANALYSIS. REPORTED PROBLEM WAS CONFIRMED. THE BRACKETS INSIDE THE CONTAINER WERE DELAMINATING, AND SOME OF THE BRACKETS WERE BENT. THE REPORTED EVENT COULD BE DUPLICATED BY MEDTRONIC PERSONNEL. CODES B01, C07, 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.

Description of Event or Problem · 0

MEDTRONIC RECEIVED INFORMATION REGARDING A NAVIGATION SYSTEM BEING USED OUTSIDE OF A PROCEDURE. IT WAS REPORTED THAT THERE WAS PEELING OF THE CASE PLATING AND DEFORMATION FOR THE THREE CONTAINERS. THERE WAS NO PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2289287 NAVLOCK STERILIZATION WRAP CONTAINERS, TRAYS, CASSETTE KCT MEDTRONIC NAVIGATION, INC. 9734692 2031696 00653159011696

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown