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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: MEDTRONIC NAVIGATION, INC STEALTHSTATION® S7; INSTRUMENT, STEREOTAXIC

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MEDTRONIC NAVIGATION, INC STEALTHSTATION® S7; INSTRUMENT, STEREOTAXIC Back to Search Results
Model Number 9733858
Device Problem Audible Prompt/Feedback Problem (4020)
Patient Problem No Patient Involvement (2645)
Event Date 08/10/2017
Event Type  malfunction  
Manufacturer Narrative
Other relevant device(s) are: product id: 9733571, serial/lot #: (b)(4), udi#: (b)(4).Analysis of the 9733858 found the connection cabling/hardware was damaged.Analysis of the 9733571 found the connection cabling/hardware was damaged.A continuity test revealed an open from pin 10 of the hd26 connector to pin 16 of the fischer connector.This was the audio right signal.If information is provided in the future, a supplemental report will be issued.
 
Event Description
Medtronic received information regarding a navigation system while outside of procedure.It was reported that there was an issue with the surgeon monitor external cable.It was stated that when the pressure was applied to the cable, an interference noise can be heard on the system speakers and was repeatable.There was no patient present when the issue occurred.
 
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Brand Name
STEALTHSTATION® S7
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
stacy ruemping
7000 central avenue ne rcw215
minneapolis, MN 55432
7635260594
MDR Report Key8669316
MDR Text Key151159638
Report Number1723170-2019-02961
Device Sequence Number1
Product Code HAW
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K050438
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,user f
Reporter Occupation Other
Type of Report Initial
Report Date 06/04/2019
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 Number9733858
Device Catalogue Number9733858
Was Device Available for Evaluation? No
Initial Date Manufacturer Received 08/10/2017
Initial Date FDA Received06/04/2019
Was Device Evaluated by Manufacturer? Yes
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage N
Patient Sequence Number1
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