FDA Adverse Event Malfunction Summary report: N

S7 NAVIGATION SYSTEM

MDR report key: 8644400 · Received May 27, 2019

Report

Report Number
1723170-2019-02681
Event Type
Malfunction
Date Received
May 27, 2019
Date of Event
July 26, 2017
Report Date
May 27, 2019
Manufacturer
MEDTRONIC NAVIGATION, INC
Product Code
HAW
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE RETURNED PROBE HAS IMPACT MARKS AT THE BACK END CAUSING FIT ISSUES WITH THE MATING TRACKER. THE ISSUE WAS ABLE TO BE DUPLICATED. THERE IS NO 510K NUMBER AS PRODUCT IS NOT MARKETED IN THE US. 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 BEING USED DURING A SACROILIAC AND THORACOLUMBAR PROCEDURE. IT WAS REPORTED THAT THE LUMBAR PROBE WAS FOUND DEFORMED DURING THE PROCEDURE. THIS OCCURRED INTRA/PERI-OPERATIVELY WITH NO DELAY TO SURGICAL TIME. THERE WAS NO REPORTED IMPACT ON PATIENT OUTCOME.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
437029 S7 NAVIGATION SYSTEM INSTRUMENT, STEREOTAXIC HAW MEDTRONIC NAVIGATION, INC 9734056

Patients

Seq Age Sex Outcome Treatment
1