FDA Adverse Event Malfunction Summary report: N

STEALTHSTATION IOR SYSTEM

MDR report key: 2438150 · Received January 12, 2012

Report

Report Number
1723170-2012-00023
Event Type
Malfunction
Date Received
January 12, 2012
Date of Event
December 27, 2011
Report Date
December 27, 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

RMAS HAVE BEEN ASSIGNED BUT NOT ALL COMPONENTS HAVE BEEN RECEIVED BY THE MFR FOR EVAL.

Description of Event or Problem · 1

A MEDTRONIC REP REPORTED THAT THE INTEGRATED OPERATING ROOM SYSTEM'S CAMERA LOST COMMUNICATION AS THEY WERE PREPARING TO TRACK THE BIOPSY NEEDLE (HAD NOT YET BEEN PASSED INTO THE HEAD). THEY WERE UNABLE TO GET COMMUNICATION BACK BUT THEY ARCHIVED THE EXAM ONTO A CD AND TRANSFERRED IT TO AN INAV, AND THE CASE WAS CONTINUED. NO PT HARM WAS REPORTED.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1 64 YR