9734056

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-12-19 for 9734056 manufactured by Medtronic Navigation, Inc.

Event Text Entries

[131312198] Patient information not available. Device information not available on the date of filing. No device/components were returned to the manufacturer on the date of filing. Manufacture date was not available on the date of filing. Pma/510(k) number was not available on the date of filing. If information is provided in the future, a supplemental report will be issued.
Patient Sequence No: 1, Text Type: N, H10


[131312199] Medtronic received information regarding a navigation system. It was reported that intra/peri-operatively during a cranial resection procedure, registration was performed with prone position in em for the craniotomy procedure of tumor excision, but the accuracy was unfavorable. Thus, restarting registration was attempted by pressing the antenna against another place, but both the antenna and the probe became unable to respond. The issue persisted despite rebooting. The orange error lamp lit up on the box of em. The issue was resolved by switching to optical. There was a delay to the procedure of less than one hour. There was no reported impact on patient outcome.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1723170-2018-06354
MDR Report Key8180874
Date Received2018-12-19
Date of Report2019-01-15
Date of Event2018-11-30
Date Mfgr Received2018-12-26
Date Added to Maude2018-12-19
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactSTACY RUEMPING
Manufacturer Street7000 CENTRAL AVENUE NE RCW215
Manufacturer CityMINNEAPOLIS MN 55432
Manufacturer CountryUS
Manufacturer Postal55432
Manufacturer Phone7635260594
Manufacturer G1MEDTRONIC NAVIGATION, INC
Manufacturer Street826 COAL CREEK CIRCLE
Manufacturer CityLOUISVILLE CO 80027
Manufacturer CountryUS
Manufacturer Postal Code80027
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Generic NameINSTRUMENT, STEREOTAXIC
Product CodeORR
Date Received2018-12-19
Returned To Mfg2018-12-28
Model Number9734056
Catalog Number9734056
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerMEDTRONIC NAVIGATION, INC
Manufacturer Address826 COAL CREEK CIRCLE LOUISVILLE CO 80027 US 80027


Patients

Patient NumberTreatmentOutcomeDate
10 2018-12-19

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