FDA Adverse Event Malfunction Summary report: N

STEALTHSTATION TREON TREATMENT GUIDANCE SYSTEM

MDR report key: 3973642 · Received August 1, 2014

Report

Report Number
1723170-2014-00806
Event Type
Malfunction
Date Received
August 1, 2014
Date of Event
May 12, 2014
Report Date
May 12, 2014
Manufacturer
MEDTRONIC NAVIGATION, INC.
Product Code
HAW
PMA / PMN Number
K050438
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Additional Manufacturer Narrative · 1

AS REPORTED, THE STARBURST JOINT OF THE RETURNED ARTICULATING ARM WOULD NOT RELEASE OR LOCK DOWN COMPLETELY. THE REPORTED EVENT WAS CONFIRMED TO BE CAUSED BY A MECHANICAL ISSUE WITH THE ARTICULATING ARM MOST LIKELY DUE TO THE AGE OF THE DEVICE.

Additional Manufacturer Narrative · 1

THERE WAS NO PATIENT INVOLVED WITH THIS CONCERN.A REPLACEMENT DEVICE HAS BEEN SHIPPED TO THE SITE. A PROBABLE CAUSE WAS REPORTED TO BE USE/STERILIZATION PROCESS. HOWEVER, NO PARTS HAVE BEEN RECEIVED BY THE MANUFACTURER FOR EVALUATION.

Description of Event or Problem · 1

A SITE REPRESENTATIVE REPORTED THAT THE REFERENCE FRAME ARM WAS DEFECTIVE BECAUSE IT DID NOT "FREEZE" PROPERLY. THERE WAS NO PATIENT INVOLVED WITH THIS CONCERN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
449917 STEALTHSTATION TREON TREATMENT GUIDANCE SYSTEM NEUROLOGICAL STEREOTAXIC INSTRUMENT HAW MEDTRONIC NAVIGATION, INC. TREON

Patients

Seq Age Sex Outcome Treatment
1