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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: MEDTRONIC NAVIGATION, INC GUIDE BIOPSY; INSTRUMENT, STEREOTAXIC
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MEDTRONIC NAVIGATION, INC GUIDE BIOPSY; INSTRUMENT, STEREOTAXIC Back to Search Results
Model Number 960-539
Device Problems Material Integrity Problem (2978); Output Problem (3005)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 02/10/2021
Event Type  malfunction  
Manufacturer Narrative
No parts have been returned for analysis.If information is provided in the future, a supplemental report will be issued.
 
Event Description
Medtronic received information regarding a navigation system used outside of a procedure.It was reported that the guide biopsy was defective.No patient involvement was reported.Additional information: it was reported that the biopsy needle would not lock.
 
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Brand Name
GUIDE BIOPSY
Type of Device
INSTRUMENT, STEREOTAXIC
Manufacturer (Section D)
MEDTRONIC NAVIGATION, INC
826 coal creek circle
louisville CO 80027
Manufacturer (Section G)
MEDTRONIC NAVIGATION, INC
826 coal creek circle
louisville CO 80027
Manufacturer Contact
david gustafson
7000 central avenue ne rcw215
minneapolis, MN 55432
7635149628
MDR Report Key11425322
MDR Text Key238838188
Report Number1723170-2021-00595
Device Sequence Number1
Product Code HAW
UDI-Device Identifier00681490991520
UDI-Public00681490991520
Combination Product (y/n)N
Reporter Country CodeFR
PMA/PMN Number
K954276
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,foreig
Reporter Occupation Biomedical Engineer
Type of Report Initial
Report Date 03/05/2021
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received03/05/2021
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model Number960-539
Device Catalogue Number960-539
Device Lot Number161212
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Date Manufacturer Received02/15/2021
Was Device Evaluated by Manufacturer? No
Date Device Manufactured12/12/2016
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
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