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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: MEDTRONIC NAVIGATION, INC. NAV 4.5MM TAP (CANNULATED); ORTHOPEDIC STEREOTAXIC INSTRUMENT

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MEDTRONIC NAVIGATION, INC. NAV 4.5MM TAP (CANNULATED); ORTHOPEDIC STEREOTAXIC INSTRUMENT Back to Search Results
Catalog Number 9734238
Device Problems Partial Blockage (1065); Device Reprocessing Problem (1091); Complete Blockage (1094)
Patient Problem No Patient Involvement (2645)
Event Date 04/09/2015
Event Type  malfunction  
Event Description
A medtronic representative received a report from a site sterile processing department (spd) manager alleging they cannot clean all the bone out of their cannulated taps.No further details were provided.There was no patient present when this issue was identified.
 
Manufacturer Narrative
No patient information provided as no patient was involved in this concern.Device lot number not available.Device manufacturing date is dependent on lot number, therefore, unavailable.The site did not request replacements, nor will they return their nav 4.5mm cannulated taps to manufacturer for analysis.Mechanical/instrument engineering analysis reports "the cannulated spine taps are intended to be used in mis (minimally-invasive surgery) procedures using a guidewire.If cannulated taps are used without a guide wire, bone will accumulate in the cannula and the device will be considered at the end of its useful life.The cannulated tap should be disposed according to national regulations." no further issues have been reported.
 
Manufacturer Narrative
Correction: on 13-oct-2015, it was noticed that a previous mdr submission contained incorrect information with regards to the common device name, product code and/or pma/510(k).This mdr is being submitted to correct this information.There is no new information to change the patient information, event description or manufacturer narrative that was previously reported.
 
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Brand Name
NAV 4.5MM TAP (CANNULATED)
Type of Device
ORTHOPEDIC STEREOTAXIC INSTRUMENT
Manufacturer (Section D)
MEDTRONIC NAVIGATION, INC.
826 coal creek circle
louisville CO 80027 9710
Manufacturer (Section G)
MEDTRONIC NAVIGATION, INC.
826 coal creek circle
louisville CO 80027 9710
Manufacturer Contact
kristianna bilan
826 coal creek circle
louisville, CO 80027-9710
7208902338
MDR Report Key4756576
MDR Text Key5887389
Report Number1723170-2015-00568
Device Sequence Number1
Product Code OLO
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K124004
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Company Representative,company representative
Reporter Occupation Medical Equipment Company Technician/Representative
Type of Report Initial,Followup
Report Date 11/10/2015
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received05/07/2015
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue Number9734238
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Date Manufacturer Received10/13/2015
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse
Patient Sequence Number1
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