FDA Adverse Event Other Summary report: N

WAYPOINT NAVIGATOR

MDR report key: 2677628 · Received July 26, 2012

Report

Report Number
3005677147-2012-00005
Event Type
Other
Date Received
July 26, 2012
Date of Event
July 3, 2012
Report Date
July 3, 2012
Manufacturer
FHC, INC.
Product Code
HAW
PMA / PMN Number
K092192
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
ME, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

BASED ON THE ANCHOR SCANS AND EVAL OF THE WAYPOINT NAVIGATOR BY THE PROCEDURAL SUPPORT SPECIALIST, IT WAS NOTED THAT THE CT SCANNER USED BY THE HOSPITAL PREVIOUSLY WAS FAULTY AND SHOWING ANCHOR VISUALIZATION ISSUES. THE SURGERY FOR THE SECOND SIDE WAS COMPLETED SUCCESSFULLY AND THERE WAS NO PT IMPACT. THE WAYPOINT NAVIGATOR SYSTEM DID NOT SHOW ANY ISSUES AND PERFORMED AS REQUIRED.

Description of Event or Problem · 1

USER REPORTED TO FHC TECHNICAL SUPPORT SPECIALIST AN ISSUE WITH PLANNING A BILATERAL PLATFORM SURGERY USING THE WAYPOINT NAVIGATOR. DURING THE PLANNING PROCEDURE IT WAS OBSERVED THAT ONE OF THE 4 ANCHORS WAS BLURRY AND GAVE A MIRRORED OR DOUBLED EFFECT, THUS MAKING IT DIFFICULT TO SELECT THE ANCHOR DURING PLANNING. PLANNING WAS COMPLETED AND THE USER WAS MADE AWARE THAT THE FIT OF THE PLATFORM WOULD BE COMPROMISED, BUT THE USER WAS CONFIDENT ABOUT MOVING AHEAD WITH 3 PLATFORM FEET ATTACHED IF IT WAS NECESSARY. THE SURGERY FOR ONE SIDE WAS COMPLETED SUCCESSFULLY. THE SURGEON DECIDED TO RESCAN AND REPLAN THE SECOND SIDE. THE SAME CT SCANNER WAS USED TO PERFORM THE SCANS AND THE ANCHORS WERE FOUND TO BE BLURRY ONCE AGAIN. THE HOSPITAL REP THEN DECIDED TO SWITCH THE SCANNER FROM THE PHILLIPS SCANNER TO THE GE SCANNER. THE ANCHOR SCANS FROM THE GE SCANNER CAME OUT PERFECT WITH NO ANCHOR VISUALIZATION ISSUES. THERE WAS NO EVIDENCE THAT THE PT WAS HARMED WITH THE WAYPOINT NAVIGATOR OR THE CT SCANNER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 WAYPOINT NAVIGATOR WAYPOINT NAVIGATOR HAW FHC, INC. 66-WP-PL

Patients

Seq Age Sex Outcome Treatment
1 UNK