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