Brand Name | STEALTHSTATION S8 PREMIUM SYSTEM |
Type of Device | NEUROLOGICAL STEREOTAXIC INSTRUMENT |
Manufacturer (Section D) |
MEDTRONIC NAVIGATION, INC. (LOUISVILLE) |
826 coal creek circle |
louisville CO 80027 |
|
Manufacturer (Section G) |
MEDTRONIC NAVIGATION, INC. (LOUISVILLE) |
826 coal creek circle |
|
louisville CO 80027 |
|
Manufacturer Contact |
erika
mitchellette
|
navigation customer quality |
826 coal creek circle |
louisville, CO 80027
|
|
MDR Report Key | 7890414 |
MDR Text Key | 120831932 |
Report Number | 1723170-2018-04829 |
Device Sequence Number | 1 |
Product Code |
HAW
|
Combination Product (y/n) | N |
Reporter Country Code | US |
PMA/PMN Number | K162309 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
company representative,health |
Reporter Occupation |
Physician
|
Type of Report
| Initial,Followup,Followup |
Report Date |
03/26/2019 |
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
|
Device Operator |
Health Professional
|
Device Model Number | 9735665 |
Device Catalogue Number | 9735665 |
Was Device Available for Evaluation? |
Device Returned to Manufacturer
|
Date Returned to Manufacturer | 09/04/2018 |
Is the Reporter a Health Professional? |
Yes
|
Initial Date Manufacturer Received |
09/04/2018 |
Initial Date FDA Received | 09/19/2018 |
Supplement Dates Manufacturer Received | 09/20/2018 01/02/2019
|
Supplement Dates FDA Received | 09/21/2018 03/26/2019
|
Was Device Evaluated by Manufacturer? |
Yes
|
Date Device Manufactured | 05/30/2018 |
Is the Device Single Use? |
No
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Reuse
|
Patient Sequence Number | 1 |
Patient Age | 53 YR |
Patient Weight | 181 |