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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: MEDTRONIC NAVIGATION, INC. StealthStation¿ S8 system; NEUROLOGICAL STEREOTAXIC INSTRUMENT

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MEDTRONIC NAVIGATION, INC. StealthStation¿ S8 system; NEUROLOGICAL STEREOTAXIC INSTRUMENT Back to Search Results
Model Number 9735669
Medical Device Problem Codes Electrical /Electronic Property Problem (1198); Naturally Worn (2988)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 08/05/2026
Type of Reportable Event Malfunction
Event or Problem Description
Medtronic received information regarding a navigation system being used outside of a procedure.It was reported that the system had wear on the main power cable to the system.The grey coating was changing to white.There were no tears and no cable showing.There was no patient involvement.
 
Additional Manufacturer Narrative
Continuation of d10: section d information references the main component of the system.Other relevant device(s) are: product id: 9735943, serial/lot #: (b)(6), ubd: , udi#: h3, h6: a manufacturer representative went to the site to test the equipment.In summary, the power cable was starting to show some signs of wear on the outer coating of the cable.The power cable was replaced.Codes fdm b01, fdr c0201, fdc d02 are applicable to this analysis.D9, h3, h6: the hardware was returned and analysis was performed.The returned power cable did have a damaged cable jacket, but it didn't have exposed wires.The cable passed continuity testing.Codes fdm b01, fdr c0201, fdc d02 are applicable to this analysis.H6: multiple fdd/annex a codes were reported.A040507 was coded for the component being worn.A07 was coded for the grey coating changing to white.Medtronic submits this report to comply with fda regulations 21 cfr parts 4 and 803.Medtronic has made reasonable efforts to provide as much relevant information as is available to the company as of the submission date of this report.This report does not constitute an admission or a conclusion by fda, medtronic, or its employees that the device, medtronic, or its employee caused or contributed to the event described in the report.Any required fields that are unpopulated are blank because the information is currently unknown or unavailable.Medtronic will submit a supplemental report if additional relevant information becomes known.
 
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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 Key50948263
Report Number1723170-2026-01389
Device Sequence Number9534324
Product Code HAW
UDI-Device Identifier00763000360450
Combination Product (Y/N)N
Initial Reporter StateWA
Initial Reporter CountryUS
PMA/510(K) Number
K162309
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Company Representative
Initial Reporter Occupation Non-Healthcare Professional
Type of Report Initial
Report Date (Section B) 09/30/2026
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 Number9735669
Device Catalogue Number9735669
Was Device Available for Evaluation? Yes
Date Returned to Manufacturer09/15/2026
Is the Reporter a Health Professional? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 09/16/2026
Initial Report FDA Received Date09/30/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured03/22/2021
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 Number1
Concomitant Medical Products
and Therapy/Usage Dates
"See H11...."
Patient SexUnknown
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