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 |