FDA Adverse Event Malfunction Summary report: N

STEALTHSTATION S7 SYSTEM

MDR report key: 3043045 · Received April 9, 2013

Report

Report Number
1723170-2013-00263
Event Type
Malfunction
Date Received
April 9, 2013
Date of Event
March 11, 2013
Report Date
March 11, 2013
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

THE MEDTRONIC REPRESENTATIVE REPORTED THAT HE PERFORMED A SYSTEM CHECK AT THE SITE USING THE SAW BONES MODEL. HE TESTED THE AWL TIP, 5.5MM TAP, AND THE THORACIC AWL INSTRUMENTS AND THEY WERE ALL ACCURATE. HE ALSO ACQUIRED SCANS OF THE SAW BONES MODEL AND WAS ABLE TO ACCURATELY NAVIGATE USING THE SCANS AND MULTIPLE INSTRUMENTS. THE REPORTED EVENT WAS NOT ABLE TO BE DUPLICATED BY MEDTRONIC PERSONNEL. THE SITE HAS DONE SUCCESSFUL CASES SINCE THIS ISSUE.

Description of Event or Problem · 1

A MEDTRONIC REPRESENTATIVE REPORTED THE SITE WAS 2 MM INACCURATE DURING A TWO LEVEL FUSION CASE WITH FLUORO NAV. THEY HAD TO MANUALLY ACQUIRE THE IMAGES, BUT OTHER THAN THAT THEY HAD NO ISSUE ACTIVATING IMAGES. THE SURGEON WAS ABLE TO SUCCESSFULLY COMPLETE THE CASE USING THE NAVIGATION SYSTEM. THERE WAS NO NEGATIVE IMPACT TO THE PATIENT REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
145299 STEALTHSTATION S7 SYSTEM NEUROLOGICAL STEREOTAXIC INSTRUMENT HAW MEDTRONIC NAVIGATION, INC. S7

Patients

Seq Age Sex Outcome Treatment
1 49 YR