FDA Adverse Event Malfunction Summary report: N

STEALTHSTATION S7 SYSTEM

MDR report key: 2872910 · Received December 13, 2012

Report

Report Number
1723170-2012-00708
Event Type
Malfunction
Date Received
December 13, 2012
Date of Event
November 15, 2012
Report Date
November 15, 2012
Manufacturer
MEDTRONIC NAVIGATION, INC.
Product Code
HAW
PMA / PMN Number
K050438
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CO, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Additional Manufacturer Narrative · 1

DUE TO CHARACTER LIMITATIONS THE COMPLETE PATIENT IDENTIFIER IS DOCUMENTED HERE (B)(6). SOFTWARE HAS NOT BEEN EVALUATED AS OF THE DATE OF THIS REPORT.

Additional Manufacturer Narrative · 1

EXAM ANALYSIS FINDS THE GREEN SPHERE OF ACCURACY IS APPROX 8CM IN DIAMETER. THE YELLOW SPHERE OF ACCURACY IS APPROX 15CM, ENCOMPASSING ABOUT 90% OF THE BRAIN. THERE IS NO REASON TO EXPECT THIS REGISTRATION WOULD RESULT IN AN INACCURACY OF AMOUNT ALLEGED IN THE SUMMARY. IT IS MORE LIKELY THE FRAME MOVED WHEN GOING FROM NONSTERILE TO STERILE. SINCE WE DON'T KNOW THIS FOR SURE, THERE IS INSUFFICIENT INFORMATION TO DRAW A CONCLUSION.

Description of Event or Problem · 1

A MEDTRONIC REPRESENTATIVE REPORTED THAT DURING THE TUMOR RESECTION THE SURGEON ALLEGED AN INACCURACY AFTER GOING STERILE. REGISTRATION WAS DONE USING POINTMERGE AND HAD A 2.5 SPHERE OF ACCURACY. THE DOCTOR STATED THAT HE WAS 1CM LATERAL AND 1 CM SUPERIOR INACCURATE; HOWEVER, CONTINUED THE CASE WITH THE USE OF NAVIGATION WHILE ACCOUNTING FOR THE INACCURACY. THE PROCEDURE WAS COMPLETED WITH NO NEGATIVE IMPACT TO THE PATIENT OUTCOME.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 STEALTHSTATION S7 SYSTEM NEUROLOGICAL STEREOTAXIC INSTRUMENT HAW MEDTRONIC NAVIGATION, INC. S7

Patients

Seq Age Sex Outcome Treatment
1 14 YR