FDA Adverse Event
Malfunction
Summary report: N
STEALTHSTATION S7 SYSTEM
MDR report key: 3822034
·
Received May 20, 2014
Report
- Report Number
- 1723170-2014-00592
- Event Type
- Malfunction
- Date Received
- May 20, 2014
- Date of Event
- April 25, 2014
- Report Date
- April 25, 2014
- 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
PATIENT IDENTIFIER WAS NOT PROVIDED FROM THE SITE. A MEDTRONIC REPRESENTATIVE REPORTED THAT AFTER THE SURGERY HE CHECKED THE SYSTEM AND WAS ABLE TO TRACK THE NEEDLE WITHOUT ISSUE. THE HARDWARE, SOFTWARE, AND INSTRUMENTS PASSED THE SYSTEM CHECKOUT. THE SYSTEM PERFORMED AS INTENDED AND THE REPORTED EVENT COULD NOT BE DUPLICATED BY MEDTRONIC PERSONNEL.
Description of Event or Problem · 1
A MEDTRONIC REPRESENTATIVE REPORTED THAT A BIOPSY NEEDLE WAS NOT TRACKING DURING A PROCEDURE. THE SURGEON CHOSE TO PROCEED WITHOUT NAVIGATION. THERE WAS NO IMPACT TO THE OUTCOME OF THE PATIENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 299985 | STEALTHSTATION S7 SYSTEM | NEUROLOGICAL STEREOTAXIC INSTRUMENT | HAW | MEDTRONIC NAVIGATION, INC. | S7 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 84 YR |