SURGICAL TOOL NAVIGATOR (STN) *

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,07 report with the FDA on 1998-01-07 for SURGICAL TOOL NAVIGATOR (STN) * manufactured by Carl Zeiss.

Event Text Entries

[19776151] On 11/21/97, dr began procedure using a zeiss stn system. He was performing an anterior thoracic t-11 corpectomy and fusion with instrumentation. Physician placed drf in an unconventional manner, and was advised that it may affect accuracy. The physician proceeded. The physician then referenced the system, and was satisfied with the accuracy of the system. Two mfr reps from du puy and synthes, were also involved in the case and were advising the physician on the use of their instrumentation. Dr checked approaches sporadically throughout the case and continued to proceed. After all instrumentation was implanted, anterior-posterior x-ray allegedly revealed that a pedicle screw was positioned incorrectly. It allegedly appeared that the screw was misdirected by the cage. Physician believes that the cage may have modified the position of the pt's spinal anatomy. The dr corrected the misdirected screw. Pt allegedly suffered temporary post surgical paralysis due to alleged injury when the pedicle screw entered the spinal canal and cord. Pt is much improved and walking as of this report.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2431026-1998-00001
MDR Report Key141842
Report Source05,07
Date Received1998-01-07
Date of Report1998-01-07
Date of Event1997-11-21
Date Mfgr Received1997-12-02
Date Added to Maude1998-01-08
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location0
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSURGICAL TOOL NAVIGATOR (STN)
Generic NameIMAGE GUIDED SURGERY DEVICE
Product CodeFWD
Date Received1998-01-07
Model Number*
Catalog Number*
Lot NumberLOCALIZER-235865
ID Number*
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Implant FlagN
Date RemovedA
Device Sequence No1
Device Event Key138386
ManufacturerCARL ZEISS
Manufacturer AddressCARL ZEISS STRASSE 2-60 OBERKOCHEN GM 73446


Patients

Patient NumberTreatmentOutcomeDate
101. Other 1998-01-07

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