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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: MEDTRONIC NAVIGATION, INC. (LOUISVILLE) MEDTRONIC FUSION COMPACT NAVIGATION SYSTEM; EAR NOSE AND THROAT STEREOTAXIC INSTRUMENT

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MEDTRONIC NAVIGATION, INC. (LOUISVILLE) MEDTRONIC FUSION COMPACT NAVIGATION SYSTEM; EAR NOSE AND THROAT STEREOTAXIC INSTRUMENT Back to Search Results
Model Number FUSION COMPACT
Device Problems Computer Software Problem (1112); Device Stops Intermittently (1599)
Patient Problem No Consequences Or Impact To Patient (2199)
Event Date 01/22/2017
Event Type  malfunction  
Manufacturer Narrative
On 02/18/2017, a medtronic representative performed a navigation system check-out, all areas passed.System performed as intended.No parts have been received by manufacturer for analysis.No further issues have been reported.
 
Event Description
A site registered nurse (rn) reported that, while in an ear, nose & throat (ent) procedure, their navigation system was acting slow on multiple pages: in patient import page and in registration page.Noted was difficulty in verifying the probe.No further details regarding this issue were provided.The surgeon opted to complete the procedure without the use of the navigation system.Delay in therapy was greater than one hour before continuing.There was no impact on patient outcome.
 
Manufacturer Narrative
Medtronic personnel reported that the instrument the site was attempting to verify was outside of the emitter field.The site has been instructed on proper emitter placement.The software investigation found that the reported event was unrelated to a software issue.The software functioned as designed.
 
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Brand Name
MEDTRONIC FUSION COMPACT NAVIGATION SYSTEM
Type of Device
EAR NOSE AND THROAT STEREOTAXIC INSTRUMENT
Manufacturer (Section D)
MEDTRONIC NAVIGATION, INC. (LOUISVILLE)
826 coal creek circle
louisville CO 80027
Manufacturer (Section G)
MEDTRONIC NAVIGATION, INC. (LOUISVILLE)
826 coal creek circle
louisville CO 80027
Manufacturer Contact
peter verhey
826 coal creek circle
louisville, CO 80027-9710
7208902187
MDR Report Key6342591
MDR Text Key67867053
Report Number1723170-2017-00745
Device Sequence Number1
Product Code PGW
UDI-Device Identifier00643169672956
UDI-Public00643169672956
Combination Product (y/n)N
Reporter Country CodeSA
PMA/PMN Number
K153247
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,foreig
Reporter Occupation Nurse
Type of Report Initial,Followup
Report Date 04/26/2017
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received02/19/2017
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Physician
Device Model NumberFUSION COMPACT
Device Catalogue Number9735602
Is the Reporter a Health Professional? Yes
Date Manufacturer Received04/01/2017
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured02/16/2016
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse
Patient Sequence Number1
Patient Age35 YR
Patient Weight65
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