FDA Adverse Event Malfunction Summary report: N

STEALTHSTATION® I7¿ INTEGRATED NAVIGATION SYSTEM

MDR report key: 3173600 · Received June 17, 2013

Report

Report Number
1723170-2013-00442
Event Type
Malfunction
Date Received
June 17, 2013
Date of Event
May 21, 2013
Report Date
May 21, 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

MEDTRONIC REPRESENTATIVE, AT THE SITE, NOTED THAT WHILE ARCHIVING, FOUND THAT OUTSIDE THE OPERATING ROOM, THE MOUSE WAS UNRESPONSIVE. THE TOUCH-SCREEN IN THE ROOM AND THE TOUCH-PAD ON THE RACK WORKED WITHOUT ISSUE. UNPLUGGED THE MOUSE OUTSIDE THE ROOM, REPLUGGED IT, AND IT WORKED PROPERLY. SOFTWARE EVALUATION AS NOT BEEN COMPLETED TO DATE.

Additional Manufacturer Narrative · 1

THE SOFTWARE INVESTIGATION FOUND THAT THE LOGFILE WAS CORRUPTED. THE ROOT CAUSE WAS UNABLE TO BE DETERMINED WITHOUT FURTHER INFORMATION SINCE THE ON-GOING INVESTIGATION PROVED TO BE INCONCLUSIVE BASED ON THE INFORMATION PROVIDED AND THE BEHAVIOR COULD NOT BE REPLICATED.

Description of Event or Problem · 1

A MEDTRONIC REPRESENTATIVE REPORTED THAT, WHILE IN A PROCEDURE USING SYNERGY CRANIAL SOFTWARE, THE SYSTEM BECAME UNRESPONSIVE DURING THE NAVIGATION TASK. THE SITE REPRESENTATIVE, TECHNICAL COORDINATOR, PERFORMED A RE-BOOT OF THE SYSTEM TO RESTORE IT TO NORMAL FUNCTIONALITY. THE SURGEON COMPLETED THE PROCEDURE WITH THE USE OF THE NAVIGATION SYSTEM. THERE WAS NO IMPACT ON PATIENT OUTCOME.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
273111 STEALTHSTATION® I7¿ INTEGRATED NAVIGATION SYSTEM NEUROLOGICAL STEREOTAXIC INSTRUMENT HAW MEDTRONIC NAVIGATION, INC. I7

Patients

Seq Age Sex Outcome Treatment
1 19 YR