FDA Adverse Event Malfunction Summary report: N

STEALTHSTATION S7 SYSTEM

MDR report key: 5460507 · Received February 25, 2016

Report

Report Number
1723170-2016-00252
Event Type
Malfunction
Date Received
February 25, 2016
Date of Event
January 29, 2016
Report Date
February 25, 2016
Manufacturer
MEDTRONIC NAVIGATION, INC. (LOUISVILLE)
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

ON 02/02/3016, A MEDTRONIC REPRESENTATIVE, FOLLOWING-UP AT THE SITE, REPORTED THE STRAIGHT PROBE WAS THE INSTRUMENT UTILIZED IN THE DESCRIPTION OF THIS EVENT, NOT THE STRAIGHT SUCTION AS ORIGINALLY REPORTED. ON 02/10/2016, A MEDTRONIC REPRESENTATIVE PERFORMED A NAVIGATION SYSTEM CHECK-OUT, ALL AREAS PASSED. SYSTEM PERFORMED AS INTENDED. ON 02/24/2016, SOFTWARE LOG ANALYSIS WAS UNABLE TO DETERMINE PROBABLE CAUSE WITH THE INSUFFICIENT INFORMATION PROVIDED. THERE IS NOTHING IN THE LOGS TO INDICATE WHY THE ELEVATOR PROBE WAS SHOWING UP AS THE CURRENT PROBE. NO FURTHER ISSUES HAVE BEEN REPORTED. (B)(4).

Description of Event or Problem · 1

A MEDTRONIC REPRESENTATIVE REPORTED THAT, WHILE IN A TRANSSPHENOIDAL PROCEDURE, WHILE USING THE STRAIGHT PROBE, THE SURGEON UTILIZED A "RING COLLET" AND NOTED THE STRAIGHT PROBE DISPLAYED ON THE SCREEN CHANGED TO ELEVATOR. THE SURGEON THEN RE-VERIFIED THE STRAIGHT PROBE IN ORDER TO PROCEED. DELAY IN THERAPY WAS 45 SECONDS. 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
118087 STEALTHSTATION S7 SYSTEM NEUROLOGICAL STEREOTAXIC INSTRUMENT HAW MEDTRONIC NAVIGATION, INC. (LOUISVILLE) S7

Patients

Seq Age Sex Outcome Treatment
1 16 YR