FDA Adverse Event Malfunction Summary report: N

STEALTHSTATION TREON TREATMENT GUIDANCE SYSTEM

MDR report key: 2884123 · Received December 21, 2012

Report

Report Number
1723170-2012-00773
Event Type
Malfunction
Date Received
December 21, 2012
Date of Event
December 7, 2012
Report Date
December 7, 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

NO PARTS OR FILES HAVE BEEN RECEIVED BY THE MANUFACTURER FOR EVALUATION.

Description of Event or Problem · 1

A MEDTRONIC REPRESENTATIVE REPORTED THAT THE SURGEON WHILE PERFORMING A TRANSPHENOIDAL TUMOR RESECTION BUMPED THE DYNAMIC REFERENCE FRAME (DRF) RESULTING IN AN INACCURACY. IT DID NOT FALL OFF THE PATIENT, BUT NAVIGATION WAS SUFFICIENTLY INACCURATE AND WAS DISCONTINUED. THERE WAS NO REPORTED NEGATIVE IMPACT TO PATIENT.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1 53 YR