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