FDA Adverse Event Malfunction Summary report: N

FUSION NAVIGATION SYSTEM

MDR report key: 2882360 · Received December 20, 2012

Report

Report Number
1723170-2012-00745
Event Type
Malfunction
Date Received
December 20, 2012
Date of Event
November 26, 2012
Report Date
November 26, 2012
Manufacturer
MEDTRONIC NAVIGATION, INC.
Product Code
HAW
PMA / PMN Number
K001284
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Additional Manufacturer Narrative · 1

MEDTRONIC ENGINEERING FOUND CORRUPTED SHARED RESOURCE DATA BASE FILES. ERROR MESSAGE SAID "DATA IN THUMBNAIL OID INVALID". PHD FAILED FULL READ AND INVERSION TEST WHICH SUGGESTS A MALFUNCTIONING HARD DRIVE.

Additional Manufacturer Narrative · 1

THE PATIENT DEMOGRAPHIC INFORMATION IS UNKNOWN AT THIS TIME. THE COMPUTER WAS RETURNED AND THE EVALUATION IS CURRENTLY IN PROGRESS. A REPLACEMENT COMPUTER WAS SHIPPED TO THE SITE AND THE ISSUE WAS RESOLVED.

Description of Event or Problem · 1

A MEDTRONIC REPRESENTATIVE REPORTED THAT THE FUSION ENT BECAME UNRESPONSIVE DURING NAVIGATION. THE MOUSE WAS UNRESPONSIVE, SO THEY PERFORMED A HARD SHUT DOWN OF THE SYSTEM. THEY WERE ABLE TO PROCEED BACK TO NAVIGATE WITH ABOUT A 5 MINUTE DELAY IN THE PROCEDURE. THE CASE CONTINUED WITHOUT ANYMORE ISSUES WITH THE SOFTWARE. THE REP SAID THE TRACER REGISTRATION TECHNIQUE HAD FAILED TWICE DURING REGISTRATION AND POINTMERGE WAS USED. THE TRACER PATTERN APPEARED TO BE COLLECTING WELL AND THEN DISAPPEARED DURING THE PROCESSING. NO NEGATIVE IMPACT TO THE PATIENT WAS REPORTED.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1