FDA Adverse Event Malfunction Summary report: N

STEALTHSTATION S7 SYSTEM

MDR report key: 3002399 · Received March 13, 2013

Report

Report Number
1723170-2013-00177
Event Type
Malfunction
Date Received
March 13, 2013
Date of Event
April 4, 2013
Report Date
April 4, 2013
Manufacturer
MEDTRONIC NAVIGATION, INC.
Product Code
HAW
PMA / PMN Number
K050438
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Additional Manufacturer Narrative · 1

PATIENT WEIGHT WAS UNAVAILABLE FROM THE SITE AT TIME OF THIS REPORT.NO PARTS OR FILES HAVE BEEN RECEIVED BY THE MANUFACTURER FOR EVALUATION.

Additional Manufacturer Narrative · 1

CPU HAS BEEN REPLACED ON THIS SYSTEM; SYSTEM LOGS NOT AVAILABLE. ADDITIONALLY PER EVENT SUMMARY, AFTER A REBOOT THE SYSTEM FUNCTIONED PROPERLY. UNABLE TO DETERMINE ROOT CAUSE WITHOUT FURTHER INFORMATION SINCE THE BEHAVIOR CANNOT BE REPLICATED AFTER CPU REPLACEMENT.

Description of Event or Problem · 1

A MEDTRONIC REPRESENTATIVE REPORTED THAT SYNERGY CRANIAL SOFTWARE BECAME UNRESPONSIVE DURING A PROCEDURE. THEY RE-STARTED THE SYSTEM AND THE ISSUE WAS RESOLVED, HOWEVER THE EXAMS HAD BEEN REMOVED FROM THE HARD DISK DRIVE. THE SURGEON COMPLETED THE PROCEDURE WITH THE USE OF THE STEALTHSTATION S7 SYSTEM. THERE WAS NO NEGATIVE IMPACT ON PATIENT OUTCOME REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
105555 STEALTHSTATION S7 SYSTEM NEUROLOGICAL STEREOTAXIC INSTRUMENT HAW MEDTRONIC NAVIGATION, INC. S7

Patients

Seq Age Sex Outcome Treatment
1 77 YR