FDA Adverse Event Death Summary report: N

NAVIGATION SOFTCORD CRANIAL

MDR report key: 2818443 · Received October 31, 2012

Report

Report Number
8043933-2012-00018
Event Type
Death
Date Received
October 31, 2012
Date of Event
September 13, 2012
Report Date
October 1, 2012
Manufacturer
BRAINLAB AG
Product Code
HAW
PMA / PMN Number
K092467
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

COMPLETE EVALUATION NOT POSSIBLE AT THIS POINT OF TIME AS NEITHER THE DEVICE IN QUESTION NOR FURTHER RELEVANT DETAILS FROM THE HOSPITAL REGARDING THIS SURGERY ARE CURRENTLY NOT AVAILABLE TO BRAINLAB. FOR AVOIDANCE OF DOUBT: NO REMEDIAL ACTION DEFINED BY BRAINLAB AT THIS POINT OF TIME.

Description of Event or Problem · 1

ACCORDING TO THE INFORMATION CURRENTLY AVAILABLE TO BRAINLAB: A CRANIAL BIOPSY WAS PERFORMED WITH THE AID OF THE BRAINLAB NAVIGATION SYSTEM. DURING THE PROCEDURE THE SURGEON APPARENTLY: USED A NON-BRAINLAB BIOPSY NEEDLE AND ATTACHED IT WITH A NAVIGATIONAL REFERENCE ARRAY TO USE IT WITH THE BRAINLAB NAVIGATION SYSTEM; PERFORMED A CALIBRATION OF THE BIOPSY NEEDLE; TOOK SAMPLES OF THE TUMOR; SAW BLOOD ON THE NEEDLE AFTER REMOVING THE NEEDLE FROM AN ATTEMPT TO TAKE ONE OF THE SAMPLES; CONTINUED WITH THE PROCEDURE AND TOOK SAMPLES IN DIFFERENT LOCATIONS. FOLLOWING THE SURGERY THE PATIENT WAS FINE FOR ABOUT 6 HOURS, THEN THE SITUATION WORSENED. THE PATIENT DIED ABOUT 8 HOURS FOLLOWING THE SURGERY. AT THIS POINT OF TIME FURTHER INFORMATION FROM THE HOSPITAL REGARDING RELEVANT DETAILS OF THIS SURGERY IS NOT AVAILABLE TO BRAINLAB.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NAVIGATION SOFTCORD CRANIAL IMAGE GUIDED SURGERY SYSTEM/ STEREOT. HAW BRAINLAB AG UNK NA

Patients

Seq Age Sex Outcome Treatment
1 Death