FDA Adverse Event Malfunction Summary report: N

STEALTHSTATION S7 SYSTEM

MDR report key: 4240892 · Received November 10, 2014

Report

Report Number
1723170-2014-01204
Event Type
Malfunction
Date Received
November 10, 2014
Date of Event
October 13, 2014
Report Date
October 14, 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 WEIGHT NOW PROVIDED.

Additional Manufacturer Narrative · 1

PATIENT WEIGHT NOT MADE AVAILABLE FROM THE SITE. (B)(6) 2014, A MEDTRONIC REPRESENTATIVE PERFORMED A NAVIGATION SYSTEM CHECK-OUT, ALL AREAS PASSED. SYSTEM PERFORMED AS INTENDED. REPORTED ISSUE COULD NOT BE REPLICATED. (B)(6) 2014, A MEDTRONIC REPRESENTATIVE, FOLLOWING-UP AT THE SITE, REPORTED THE TISSUE/TUMOR BIOPSY WAS INCONCLUSIVE. THERE WAS A 4-5 MINUTE DELAY AT THE TIME OF THE PROCEDURE. SOFTWARE INVESTIGATION COMPLETED; FINDINGS ARE THAT THE CORRECT TRACER PATTERN WAS NOT FOLLOWED. SOFTWARE IS FUNCTIONING AS DESIGNED; ISSUE DETERMINED TO BE THE RESULT OF A USE ERROR.

Description of Event or Problem · 1

A MEDTRONIC REPRESENTATIVE REPORTED THAT, WHILE IN A CRANIAL BIOPSY PROCEDURE, THE SURGEON ALLEGED A 5MM INACCURACY. NO FURTHER DETAILS WERE PROVIDED. 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
721885 STEALTHSTATION S7 SYSTEM NEUROLOGICAL STEREOTAXIC INSTRUMENT HAW MEDTRONIC NAVIGATION, INC. S7

Patients

Seq Age Sex Outcome Treatment
1 38 YR