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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER INSTRUMENTS-KALAMAZOO STRYKER NAV3I(TM) PLATFORM; NEUROLOGICAL STEREOTAXIC INSTRUMENT

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STRYKER INSTRUMENTS-KALAMAZOO STRYKER NAV3I(TM) PLATFORM; NEUROLOGICAL STEREOTAXIC INSTRUMENT Back to Search Results
Model Number 7700-800-000
Medical Device Problem Code Imprecision (1307)
Health Effect - Clinical Codes No Consequences Or Impact To Patient (2199); No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 06/09/2020
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that prior to a surgical procedure at the user facility during an anatomical registration the customer was unable to achieve accurate registration of the patient landmarks and was unable to proceed with using the device for the procedure.The landmarks ensure accuracy of the device during the procedure.The procedure was completed successfully without a clinically significant delay; no adverse consequences or medical intervention were reported.
 
Event or Problem Description
It was reported that prior to a surgical procedure at the user facility during an anatomical registration the customer was unable to achieve accurate registration of the patient landmarks and was unable to proceed with using the device for the procedure.The landmarks ensure accuracy of the device during the procedure.The procedure was completed successfully without a clinically significant delay; no adverse consequences or medical intervention were reported.
 
Additional Manufacturer Narrative
Additional information added for d4, d10, h3, h4 device evaluation: follow-up report submitted to document device evaluation results.
 
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Brand Name
STRYKER NAV3I(TM) PLATFORM
Common Device Name
NEUROLOGICAL STEREOTAXIC INSTRUMENT
Manufacturer (Section D)
STRYKER INSTRUMENTS-KALAMAZOO
4100 east milham avenue
kalamazoo MI 49001
MDR Report Key10233695
Report Number0001811755-2020-01637
Device Sequence Number3093076
Product Code HAW
UDI-Device Identifier07613327004175
UDI-Public07613327004175
Combination Product (Y/N)N
Initial Reporter StateMO
Initial Reporter CountryUS
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source company representative
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date (Section B) 01/06/2021
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Operator of Device No Information
Device Model Number7700-800-000
Device Catalogue Number7700-800-000
Was Device Available for Evaluation? Yes
Initial Date Received by Manufacturer 06/09/2020
Supplement Date Received by Manufacturer01/06/2021
Initial Report FDA Received Date07/06/2020
Supplement Report FDA Received Date01/06/2021
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Patient Sequence Number1
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