FDA Adverse Event Malfunction Summary report: N

NAVLOCK, UNIVERSAL TRACKER ADAPTER FOR INSTRUMENTS FROM 20 TO 27MM

MDR report key: 3895079 · Received June 25, 2014

Report

Report Number
0001811755-2014-02272
Event Type
Malfunction
Date Received
June 25, 2014
Date of Event
May 30, 2014
Report Date
January 10, 2025
Manufacturer
STRYKER INSTRUMENTS-KALAMAZOO
Product Code
HAW
PMA / PMN Number
K993239
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MD, US
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 1

DEVICE NOT YET RETURNED FOR INVESTIGATION.

Additional Manufacturer Narrative · 1

THE REPORTED EVENT WAS CONFIRMED THROUGH THE SERVICE EVALUATION PROCESS.

Additional Manufacturer Narrative · 1

THE DEVICE LOT NUMBER WAS PROVIDED BY THE USER FACILITY.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE BOTTOM OF THE NAVLOCK UNIVERSAL TRACKER ADAPTOR FOR INSTRUMENTS BROKE OFF DURING A FRONTAL ENDOSCOPIC SINUS SURGERY PROCEDURE. THE CASE WAS COMPLETED SUCCESSFULLY USING NAVIGATION AND WITHOUT A CLINICALLY SIGNIFICANT DELAY. THERE WAS NO MEDICAL TREATMENT OR INTERVENTION REQUIRED AS A RESULT OF THE EVENT AND NO ADVERSE CONSEQUENCES.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE BOTTOM OF THE NAVLOCK UNIVERSAL TRACKER ADAPTOR FOR INSTRUMENTS BROKE OFF DURING A FRONTAL ENDOSCOPIC SINUS SURGERY PROCEDURE. THE CASE WAS COMPLETED SUCCESSFULLY USING NAVIGATION AND WITHOUT A CLINICALLY SIGNIFICANT DELAY. THERE WAS NO MEDICAL TREATMENT OR INTERVENTION REQUIRED AS A RESULT OF THE EVENT AND NO ADVERSE CONSEQUENCES.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE BOTTOM OF THE NAVLOCK UNIVERSAL TRACKER ADAPTOR FOR INSTRUMENTS BROKE OFF DURING A FRONTAL ENDOSCOPIC SINUS SURGERY PROCEDURE. THE CASE WAS COMPLETED SUCCESSFULLY USING NAVIGATION AND WITHOUT A CLINICALLY SIGNIFICANT DELAY. THERE WAS NO MEDICAL TREATMENT OR INTERVENTION REQUIRED AS A RESULT OF THE EVENT AND NO ADVERSE CONSEQUENCES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
371785 NAVLOCK, UNIVERSAL TRACKER ADAPTER FOR INSTRUMENTS FROM 20 TO 27MM NEUROLOGICAL STEREOTAXIC INSTRUMENT HAW STRYKER INSTRUMENTS-KALAMAZOO A/01/2014

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown