FDA Adverse Event Malfunction Summary report: N

STEALTHSTATION® S7

MDR report key: 8685630 · Received June 10, 2019

Report

Report Number
1723170-2019-03152
Event Type
Malfunction
Date Received
June 10, 2019
Date of Event
May 31, 2017
Report Date
June 10, 2019
Manufacturer
MEDTRONIC NAVIGATION, INC
Product Code
HAW
UDI-DI
00643169505742
PMA / PMN Number
K050438
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

AXIEM FRAME REFERENCE CABLE WAS BAD CONNECTION SO THE INSTRUMENTS COULD NOT USE. THE ISSUE WAS RESOLVED. CHECKED THE EMITER AND OTHER INSTRUMENTS, THEN SOFTWARE TEST. AXIEM FRAME REFERENCE CABLE WAS BAD CONNECTION SO THE INSTRUMENTS COULD NOT USE. AFTER CHANGE INSTRUMENTS THE TEST WAS PASSED. ALL TEST PASSED AND THE SYSTEM IS READY FOR USE. 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 OUTSIDE OF A PROCEDURE. IT WAS REPORTED THAT SITE COULD NOT REGISTER THE ELECTROMAGNETISM INSTRUMENT. THERE WAS NO PATIENT PRESENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
478833 STEALTHSTATION® S7 INSTRUMENT, STEREOTAXIC HAW MEDTRONIC NAVIGATION, INC 9733858 00643169505742

Patients

Seq Age Sex Outcome Treatment
1