FDA Adverse Event Malfunction Summary report: N

STEALTHSTATION S7 SYSTEM

MDR report key: 2985615 · Received March 1, 2013

Report

Report Number
1723170-2013-00146
Event Type
Malfunction
Date Received
March 1, 2013
Date of Event
March 8, 2013
Report Date
March 8, 2013
Manufacturer
MEDTRONIC NAVIGATION, INC.
Product Code
HAW
PMA / PMN Number
K050438
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
BE
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Additional Manufacturer Narrative · 1

SUSPECT SYSTEM CONTROL UNIT (SCU) WAS RECEIVED BY MANUFACTURER FOR EVALUATION. THE SCU POWERED UP NORMALLY, BUT THE EVENT LOG HAD RECORDED MANY INTERMITTENT INTERNAL STROBER ERRORS. REPLACING THE SCU ON THE NAVIGATION SYSTEM IN THE FIELD RESOLVED THE ISSUE.

Additional Manufacturer Narrative · 1

NO PATIENT INFORMATION PROVIDED AS NO PATIENT WAS INVOLVED IN THIS CONCERN. A FAULT WAS DISPLAYED IN THE SCU SOFTWARE INTERFACE. RMA ISSUED FOR REPLACEMENT SCU. SUSPECT DEVICE HAS NOT BEEN RETURNED TO MANUFACTURER FOR FURTHER EVALUATION.

Description of Event or Problem · 1

A MEDTRONIC REPRESENTATIVE REPORTED A FAULT ON A STEALTHSTATION S7 SYSTEM CONTROL UNIT (SCU), CAUSING INTERMITTENT BEHAVIOR WITH THE FOOT PEDAL AND CAMERA COMMUNICATION. THERE WAS NO PATIENT PRESENT AT THE TIME OF THE ALLEGED MALFUNCTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
90430 STEALTHSTATION S7 SYSTEM NEUROLOGICAL STEREOTAXIC INSTRUMENT HAW MEDTRONIC NAVIGATION, INC. S7

Patients

Seq Age Sex Outcome Treatment
1