FDA Adverse Event Malfunction Summary report: N

SPINE TRACKER

MDR report key: 2974615 · Received January 17, 2013

Report

Report Number
3007582679-2013-90002
Event Type
Malfunction
Date Received
January 17, 2013
Date of Event
December 20, 2012
Report Date
December 21, 2012
Manufacturer
STRYKER NAVIGATION
Product Code
HAW
PMA / PMN Number
K003111
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AR, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

ADDITIONAL INFORMATION WILL BE SUBMITTED ONCE THE DEVICE IS EVALUATED. THE REASON FOR THE SERIALIZATION STARTING WITH 90XXX IS TO PROVIDE CLARIFICATION FOLLOWING A CHANGE IN STRYKER'S ELECTRONIC COMPLAINT SYSTEM.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING A SPINAL FUSION PROCEDURE, THE SPINE TRACKER CAUSED A 30 TO 40 MINUTE PROCEDURE DELAY BECAUSE IT WOULD NOT INITIALIZE. THE PROCEDURE WAS COMPLETED BY TRADITIONAL METHODS WITHOUT INCIDENT. NO ADVERSE EVENT WAS ASSOCIATES WITH THE DEVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
27288 SPINE TRACKER HAW STRYKER NAVIGATION 10276

Patients

Seq Age Sex Outcome Treatment
1 UNK