FDA Adverse Event Malfunction Summary report: N

STEALTH S7

MDR report key: 8188324 · Received December 20, 2018

Report

Report Number
1723170-2018-06401
Event Type
Malfunction
Date Received
December 20, 2018
Date of Event
November 2, 2017
Report Date
December 20, 2018
Manufacturer
MEDTRONIC NAVIGATION, INC
Product Code
HAW
UDI-DI
00613994450944
PMA / PMN Number
K050438
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

PATIENT INFORMATION WAS UNAVAILABLE FROM SITE. A MANUFACTURER REPRESENTATIVE WENT TO THE SITE TO TEST THE NAVIGATION SYSTEM. THE SYSTEM PERFORMED AS INTENDED AND NO PARTS WERE REPLACED. A SOFTWARE INVESTIGATION ANALYSIS WAS INITIATED TO DETERMINE THE PROBABLE CAUSE OF THE ISSUE. THE ANALYSIS WAS INCONCLUSIVE AND PROBABLE CAUSE WAS UNABLE TO BE DETERMINED. IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem · 1

MEDTRONIC RECEIVED INFORMATION REGARDING A NAVIGATION SYSTEM INTRA-OPERATIVELY DURING A SACROILIAC AND THORACOLUMBAR PROCEDURE. IT WAS REPORTED THAT THE SYSTEM WAS DISPLAYING ODD INSTRUMENT BEHAVIOR. WHEN NAVIGATING WITH THE PROBE, THE DOCTOR ASKED FOR A PROJECTION AND ONCE THE PROJECTION WAS CREATED, IT WOULD REMOVE THE PROJECTION ONCE HE RESUMED NAVIGATION. THE SYSTEM CONTAINED 150+ PATIENTS. THE ISSUE EXTENDED THE SURGICAL TIME BY LESS THAT 1 HOUR. THERE WAS NO IMPACT TO THE PATIENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1023764 STEALTH S7 INSTRUMENT, STEREOTAXIC HAW MEDTRONIC NAVIGATION, INC 9733856 00613994450944

Patients

Seq Age Sex Outcome Treatment
1