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 |