| Brand Name | StealthStation¿ S8 system |
| Common Device Name | NEUROLOGICAL STEREOTAXIC INSTRUMENT |
| Manufacturer (Section D) |
| MEDTRONIC NAVIGATION, INC. |
| 200 medtronic drive |
| lafayette CO 80027 |
|
| Manufacturer (Section G) |
| MEDTRONIC NAVIGATION, INC. |
| 200 medtronic drive |
|
| lafayette CO 80027 |
|
| Manufacturer Contact |
|
justin
ellis
|
| 8200 coral sea street ne mvs21 |
| mounds view, MN 55112
|
|
+1(763)526-5677
|
|
| MDR Report Key | 50904964 |
| Report Number | 1723170-2026-01378 |
| Device Sequence Number | 14961847 |
| Product Code |
HAW
|
| UDI-Device Identifier | 00763000272739 |
| UDI-Public | (01)00763000272739(11)200727 |
| Combination Product (Y/N) | N |
| Initial Reporter State | SC |
| Initial Reporter Country | US |
| PMA/510(K) Number | K162309 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional,Company Representative |
| Initial Reporter Occupation |
Non-Healthcare Professional
|
| Type of Report
| Initial |
| Report Date (Section B) |
09/25/2026 |
| 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 |
Health Professional
|
| Device Model Number | 9735665 |
| Device Catalogue Number | 9735665 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 09/03/2026 |
| Initial Report FDA Received Date | 09/25/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 07/27/2020 |
| Is the Device Labeled for Single Use? (Y/N) |
No
|
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Usage of Device |
Reuse
|
| Patient Sequence Number | 1 |
| Patient Age | 68 YR |
| Patient Sex | Male |
| Patient Weight | 120 LB |