FDA Adverse Event Malfunction Summary report: N

FUSION NAVIGATION SYSTEM

MDR report key: 4170079 · Received October 14, 2014

Report

Report Number
1723170-2014-01082
Event Type
Malfunction
Date Received
October 14, 2014
Date of Event
September 19, 2014
Report Date
September 19, 2014
Manufacturer
MEDTRONIC NAVIGATION, INC.
Product Code
HAW
PMA / PMN Number
K001284
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TH
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Additional Manufacturer Narrative · 1

THE SOFTWARE INVESTIGATION FOUND THAT THE REPORTED EVENT WAS RELATED TO A SOFTWARE ISSUE. THE LOG FILES INDICATED A POSSIBILITY THAT THE PATIENT DATABASE WAS AT LEAST PARTIALLY CORRUPT. THIS ISSUE WAS DOCUMENTED IN A MEDTRONIC NAVIGATION SOFTWARE ANOMALY TRACKING DATABASE.

Additional Manufacturer Narrative · 1

NO PATIENT INFORMATION PROVIDED AS NO PATIENT WAS INVOLVED IN THIS CONCERN. SOFTWARE INVESTIGATION NOT COMPLETED.

Description of Event or Problem · 1

A MEDTRONIC REPRESENTATIVE REPORTED THE SITE NAVIGATION SYSTEM BECAME UNRESPONSIVE. THE FIRST FORCED RE-START BROUGHT THE SYSTEM INTO THE BIOS BOOT-UP SCREEN, WHERE IT, AGAIN, BECAME UNRESPONSIVE. AFTER RE-STARTING, THE SYSTEM RESPONDED NORMALLY AND WAS FULLY FUNCTIONAL. THERE WAS NO PATIENT PRESENT WHEN THIS ISSUE WAS IDENTIFIED AS THE PROBLEM WAS EXPERIENCED WHEN THE HOSPITAL STAFF ATTEMPTED TO LOAD PATIENT DATA INTO THE NAVIGATION SYSTEM A FEW DAYS PRIOR TO THE PROCEDURE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
648794 FUSION NAVIGATION SYSTEM NEUROLOGICAL STEREOTAXIC INSTRUMENT HAW MEDTRONIC NAVIGATION, INC. FUSION

Patients

Seq Age Sex Outcome Treatment
1