FDA Adverse Event
Malfunction
Summary report: N
STEALTHSTATION® I7¿ INTEGRATED NAVIGATION SYSTEM
MDR report key: 2832381
·
Received November 14, 2012
Report
- Report Number
- 1723170-2012-00629
- Event Type
- Malfunction
- Date Received
- November 14, 2012
- Date of Event
- October 16, 2012
- Report Date
- October 16, 2012
- Manufacturer
- MEDTRONIC NAVIGATION, INC.
- Product Code
- HAW
- PMA / PMN Number
- K050438
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IN, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
TO DATE, NO FILES HAVE BEEN RECEIVED BY THE MANUFACTURER FOR SOFTWARE EVALUATION.
Description of Event or Problem · 1
A SITE NEURO COORDINATOR REPORTED THAT WHILE IN A SPINE CASE, THEY HAD TAKEN TWO O-ARM SPINS, WENT BACK IN THE SOFTWARE TO PULL UP THE OTHER SCAN (THEY HAD TAKEN TWO SCANS BECAUSE PROCEDURE WAS TEN LEVELS) AND WHEN THE SCAN WAS SELECTED, THE SOFTWARE SUDDENLY EXITED AND REMAINED ON THE MEDTRONIC SCREEN. THE I7 WAS POWERED DOWN, THEN RE-STARTED PROPERLY. THE SURGEON COMPLETED THE PROCEDURE WITH THE USE OF NAVIGATION. NO IMPACT TO THE PATIENT OUTCOME WAS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | STEALTHSTATION® I7¿ INTEGRATED NAVIGATION SYSTEM | NEUROLOGICAL STEREOTAXIC INSTRUMENT | HAW | MEDTRONIC NAVIGATION, INC. | I7 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 33 YR |