FDA Adverse Event Malfunction Summary report: N

STEALTHSTATION® S7

MDR report key: 8429261 · Received March 18, 2019

Report

Report Number
1723170-2019-01169
Event Type
Malfunction
Date Received
March 18, 2019
Date of Event
February 18, 2019
Report Date
June 3, 2019
Manufacturer
MEDTRONIC NAVIGATION, INC
Product Code
HAW
UDI-DI
00613994450968
PMA / PMN Number
K050438
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AU
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

COMPONENTS ARE: SOFTWARE (B)(4) STEALTHSTATION CRANIAL; 510K K153660; UDI: (B)(4). THE SOFTWARE INVESTIGATION WAS UNABLE TO DETERMINE PROBABLE CAUSE WITHOUT FURTHER INFORMATION SINCE THE ON-GOING INVESTIGATION PROVED TO BE INCONCLUSIVE BASED ON THE INFORMATION PROVIDED. THE SYSTEM LOGS WERE REVIEWED BUT PROVIDED NO ADDITIONAL INFORMATION ON THE CAUSE OF THE ISSUE. IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Additional Manufacturer Narrative · 1

PATIENT INFORMATION WAS REFUSE BY THE SITE.) A MEDTRONIC REPRESENTATIVE WENT TO THE SITE TO TEST THE EQUIPMENT. TESTING REVEALED THAT THE SYSTEM FUNCTIONED AS INTENDED AFTER UPGRADING THE SOFTWARE TO THE NEWEST VERSION. THE SYSTEM THEN PASSED THE SYSTEM CHECKOUT AND WAS FOUND TO BE FULLY FUNCTIONAL. 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. IT WAS REPORTED THAT THE AXIEM NAVIGATION WAS SUDDENLY NOT FUNCTIONAL INTRA/PERI-OPERATIVELY DURING THE REGISTER TASK OF A CRANIAL PROCEDURE. THE SITE STATED THAT THE TRACER POINTER WERE NOT TRACKABLE DURING EM. THE EXCHANGE OF THE WHOLE NAVIGATION SYSTEM TO A DIFFERENT SYSTEM SOLVED THE SITUATIONFOR THE PROCEDURE. THERE WAS A DELAY TO THE PROCEDURE OF LESS THAN ONE HOUR. THERE WAS NO REPORTED IMPACT ON PATIENT OUTCOME. LATER THE CRANIAL SOFTWARE WAS UPGRADED TO THE LATEST VERSION AND THE SYSTEM BEGAN FUNCTIONING AS INTENDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
222852 STEALTHSTATION® S7 INSTRUMENT, STEREOTAXIC HAW MEDTRONIC NAVIGATION, INC 9733858 00613994450968

Patients

Seq Age Sex Outcome Treatment
1