FDA Adverse Event Malfunction Summary report: N

STEALTHSTATION S7 SYSTEM

MDR report key: 3092300 · Received May 3, 2013

Report

Report Number
1723170-2013-00315
Event Type
Malfunction
Date Received
May 3, 2013
Date of Event
April 5, 2013
Report Date
April 5, 2013
Manufacturer
MEDTRONIC NAVIGATION, INC.
Product Code
HAW
PMA / PMN Number
K050438
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NJ, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE WAS RETURNED TO THE MANUFACTURER FOR ANALYSIS AND SHOWED SIGNS OF PHYSICAL DAMAGE. THE STARBURST END OF THE ARM WILL NOT TIGHTEN. ALL OF THE COLOR HAS BEEN STERILIZED OFF THE OF THE ARM. THE REPORTED EVENT WAS CONFIRMED. THE DEVICE WAS REPLACED AND THERE WERE NO FURTHER ISSUES.

Description of Event or Problem · 1

A HOSPITAL STAFF MEMBER REPORTED THAT THE ARTICULATING ARM WILL NOT LOCK. THIS EVENT WAS REPORTED OUTSIDE THE OPERATING ROOM, NO PATIENT WAS PRESENT AT THE TIME OF THE ALLEGED MALFUNCTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
195262 STEALTHSTATION S7 SYSTEM NEUROLOGICAL STEREOTAXIC INSTRUMENT HAW MEDTRONIC NAVIGATION, INC. S7

Patients

Seq Age Sex Outcome Treatment
1