MEDTRONIC NAVIGATION, INC. (LOUISVILLE) NAV CD HORIZON® LEGACY 5.5MM DRIVER; ORTHOPEDIC STEREOTAXIC INSTRUMENT
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Catalog Number 9734274 |
Device Problem
Bent (1059)
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Patient Problem
No Patient Involvement (2645)
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Event Date 05/26/2015 |
Event Type
malfunction
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Event Description
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A medtronic representative reported that during a spinal fusion procedure, a screwdriver became bent when placing a screw.The surgeon completed the procedure with the use of the navigation system.There was no impact on patient outcome.
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Manufacturer Narrative
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Device lot number, or serial number, unavailable.Device manufacturing date is dependent on lot number/serial number, therefore, unavailable.A medtronic representative, following up with the site, was informed by a site representative that the surgeon over-torqued the driver which caused it to get damaged.No parts have been received by the manufacturer for analysis.
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Manufacturer Narrative
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(b)(4).
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Manufacturer Narrative
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Medtronic investigation of returned suspect device finds that as reported, the tip of the driver is twisted.Otherwise, the instrument is in good condition.The hardware investigation found that the reported event was related to a hardware issue.This issue was documented in a medtronic navigation hardware anomaly tracking database.The reported event was confirmed to be caused by physical damage of the instrument tip.As previously reported, a site representative stated that the surgeon over-torqued the driver which caused it to get damaged.Replacement device shipped to site for issue resolution.
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Manufacturer Narrative
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Correction: it was discovered on 27-jan-2016, that an incorrect date was referenced in a previous supplemental 3500a submission.The reported date of 16-aug-2016 was reported incorrectly and should be 16-aug-2015.Statement in previous supplemental 3500a submission should read: ¿on 30-jun-2015, it was noticed that a coding error in mdr submissions from our facility resulted in the maude database incorrectly coding the devices related to our mdr submissions from 25-may-2015 to 16-aug-2015.The decision to wait until the database was corrected was made after consultation with the fda as advised by a consumer safety officer with the information analysis branch, division of post market surveillance, office of surveillance and biometrics.An it solution was implemented on 16-aug-2015.This mdr was submitted to correct the coding error.There is no new information to change the patient information, event description and/or manufacturer narrative that was previously reported.¿.
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