FDA Adverse Event Malfunction Summary report: N

STEALTHSTATION I7 INTEGRATED NAVIGATION SYSTEM

MDR report key: 3891259 · Received June 24, 2014

Report

Report Number
1723170-2014-00672
Event Type
Malfunction
Date Received
June 24, 2014
Date of Event
May 26, 2014
Report Date
May 26, 2014
Manufacturer
MEDTRONIC NAVIGATION, INC.
Product Code
HAW
PMA / PMN Number
K050438
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IT
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Additional Manufacturer Narrative · 1

PATIENT INFORMATION WAS UNAVAILABLE FROM THE SITE. RMA ISSUED. REPLACEMENT COMPUTER SHIPPED TO SITE (B)(4) 2014. ON (B)(4) 2014 A MEDTRONIC REPRESENTATIVE PERFORMED A NAVIGATION SYSTEM CHECK-OUT. COMPUTER REPLACED. SOFTWARE ICONS VISIBLE, AXIEM AND POLESTAR RUNNING PROPERLY. ISSUE RESOLVED. SYSTEM WORKING CORRECTLY. SUSPECT COMPUTER HAS NOT BEEN RETURNED TO MANUFACTURER FOR ANALYSIS.

Additional Manufacturer Narrative · 1

SOFTWARE INVESTIGATION COMPLETED. THIS ISSUE WILL BE CONTINUALLY MONITORED IN A MEDTRONIC SOFTWARE ANOMALY TRACKING DATABASE. ISSUE WAS RESOLVED WITH A NEW COMPUTER, SUSPECT INTERMITTENT USB SUBSYSTEM PROBLEM. THE SUSPECT COMPUTER WAS RETURNED, WOULD NOT BOOT PROPERLY AND DISPLAYED AN ERROR MESSAGE.

Description of Event or Problem · 1

A MEDTRONIC REPRESENTATIVE REPORTED THAT, WHILE IN AN EAR, NOSE & THROAT (ENT) PROCEDURE, THE SITE ALLEGED AN ERROR IN THE AXIEM ENT SOFTWARE APPLICATION. A COMMUNICATION FAILURE WAS DETECTED AND REQUIRED THE SITE TO LOG-OUT TO RE-ESTABLISH CONNECTION. WHEN THIS WAS ACCOMPLISHED, ALL PATIENT AND REGISTRATION DATA WAS SAVED. 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
368238 STEALTHSTATION I7 INTEGRATED NAVIGATION SYSTEM NEUROLOGICAL STEREOTAXIC INSTRUMENT HAW MEDTRONIC NAVIGATION, INC. I7

Patients

Seq Age Sex Outcome Treatment
1