FDA Adverse Event Malfunction Summary report: N

STEALTHSTATION S7 SYSTEM

MDR report key: 3050828 · Received April 10, 2013

Report

Report Number
1723170-2013-00272
Event Type
Malfunction
Date Received
April 10, 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
IN
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Additional Manufacturer Narrative · 1

THERE WAS NO PATIENT PRESENT. WHEN THE REPRESENTATIVE OBSERVED THIS SUDDEN SHUT DOWN, HE CHECKED THE OUTPUT FROM THE UPS/TRANSFORMER AND FOUND THAT THERE WAS NO 120 V AC OUTPUT. HE ALSO CHECKED THE BATTERIES OUTPUT AND GOT 13.4 V DC FROM BOTH THE BATTERIES. IF THE BATTERIES HAD A CHARGE AND THE SWITCH ON THE BACK OF THE SYSTEM WAS NOT ENGAGED, THERE COULD BE AN ISSUE WITH THE POWER DISTRIBUTION COMING FROM THE UNINTERRUPTIBLE POWER SUPPLY (UPS). HOWEVER, AFTER THE REPORTED ISSUE THE MEDTRONIC REP TESTED THE SYSTEM ON SITE AND WAS NOT ABLE TO REPLICATE THE REPORTED EVENT. THEY HAVE DONE 10 SURGERIES WITH THIS SYSTEM AND THE ISSUE HAS NOT RECURRED. THE REP SUSPECTS THAT THERE WAS SOME SORT OF POWER FLUCTUATION WITH THE FACILITY, BUT WILL REPLACE THE UNINTERRUPTIBLE POWER SUPPLY (UPS) AS A PRECAUTION.

Description of Event or Problem · 1

A MEDTRONIC REPRESENTATIVE REPORTED THAT THE SYSTEM HAD AN INTERMITTENT ISSUE RELATED TO LOSING POWER. HE INDICATED THAT THERE WAS NO ERROR OR MESSAGE WARNINGS ON THE SCREEN AND HE DID NOT HEAR ANY BEEPS TO ALERT HIM THE SYSTEM WAS SHUTTING DOWN. HE STATED THAT THE SYSTEM GOES OFF SUDDENLY WITH NO POWER TO THE SCREEN OR OTHER COMPONENTS OF THE SYSTEM. THERE WAS NO PATIENT PRESENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
153412 STEALTHSTATION S7 SYSTEM NEUROLOGICAL STEREOTAXIC INSTRUMENT HAW MEDTRONIC NAVIGATION, INC. S7

Patients

Seq Age Sex Outcome Treatment
1