FDA Adverse Event
Malfunction
Summary report: N
FUSION NAVIGATION SYSTEM
MDR report key: 3050754
·
Received April 10, 2013
Report
- Report Number
- 1723170-2013-00271
- Event Type
- Malfunction
- Date Received
- April 10, 2013
- Date of Event
- March 13, 2013
- Report Date
- March 13, 2013
- Manufacturer
- MEDTRONIC NAVIGATION, INC.
- Product Code
- HAW
- PMA / PMN Number
- K001284
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NJ, US
- Reporter Occupation
- PHYSICIAN
Narratives
Additional Manufacturer Narrative · 1
MEDTRONIC ENGINEERING CONFIRMED THE FIELD GENERATOR IS NOT FUNCTIONING PROPERLY. WHEN THE CABLE IS CONNECTED TO A TEST SYSTEM THE NAVIGATION TAB SHOWS RED STATUS AND SAYS "AXIEM EMITTER LOW DRIVE ERROR". SOFTWARE DIAGNOSTICS INDICATES AN OPEN ON COIL #5. A NEW EMITTER WAS INSTALLED ON THE FUSION SYSTEM AND RESOLVED THE ISSUE. SYSTEM FULLY FUNCTIONAL AFTER REPLACEMENT OF FIELD GENERATOR (A.K. A. AXIEM EMITTER).
Description of Event or Problem · 1
AN OR STAFF MEMBER REPORTED THE FUSION SYSTEM STOPPED NAVIGATING DURING A PROCEDURE. THEY CHECKED TRACKING DETAILS, WHICH SHOWED AN EMITTER COMMUNICATION ERROR. THE SITE DISCONTINUED USE OF NAVIGATION AND PROCEEDED WITH THE SURGERY. NO NEGATIVE IMPACT TO THE PATIENT OUTCOME WAS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 149635 | FUSION NAVIGATION SYSTEM | NEUROLOGICAL STEREOTAXIC INSTRUMENT | HAW | MEDTRONIC NAVIGATION, INC. | FUSION |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 28 |