FDA Adverse Event Malfunction Summary report: N

STEALTHSTATION S7 SYSTEM

MDR report key: 3201151 · Received July 2, 2013

Report

Report Number
1723170-2013-00492
Event Type
Malfunction
Date Received
July 2, 2013
Date of Event
June 5, 2013
Report Date
June 5, 2013
Manufacturer
MEDTRONIC NAVIGATION, INC.
Product Code
HAW
PMA / PMN Number
K050438
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SP
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Additional Manufacturer Narrative · 1

PATIENT SEX WAS PROVIDED. ALL OTHER DEMOGRAPHICS WERE NOT AVAILABLE PER HOSPITAL POLICY.

Additional Manufacturer Narrative · 1

THE SOFTWARE INVESTIGATION FOUND THAT THE REPORTED EVENT WAS RELATED TO A SOFTWARE ISSUE. THIS ISSUE WAS DOCUMENTED IN A MEDTRONIC NAVIGATION SOFTWARE ANOMALY TRACKING DATABASE. A NEW VERSION OF THE SOFTWARE WAS INSTALLED AT THE SITE TO RESOLVE THE ISSUE.

Additional Manufacturer Narrative · 1

PATIENT INFORMATION NOT AVAILABLE FROM THE SITE AT THE TIME OF THIS REPORT. SOFTWARE INVESTIGATION NOT COMPLETED.

Description of Event or Problem · 1

A MEDTRONIC REPRESENTATIVE REPORTED THAT, WHILE IN A PROCEDURE, THE NAVIGATION SYSTEM BECAME UNRESPONSIVE ONLY IN SYNERGY CRANIAL 2.2.5 SOFTWARE. THE SYSTEM WAS RE-BOOTED AND RETURNED TO PROPER FUNCTIONING. THE SURGEON OPTED TO COMPLETE THE PROCEDURE WITHOUT THE USE OF THE NAVIGATION SYSTEM. THERE WAS NO IMPACT ON PATIENT OUTCOME.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
301616 STEALTHSTATION S7 SYSTEM NEUROLOGICAL STEREOTAXIC INSTRUMENT HAW MEDTRONIC NAVIGATION, INC. S7

Patients

Seq Age Sex Outcome Treatment
1