9734056

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-05-15 for 9734056 manufactured by Medtronic Navigation, Inc.

Event Text Entries

[145354046] If information is provided in the future, a supplemental report will be issued.
Patient Sequence No: 1, Text Type: N, H10


[145354047] Medtronic received information regarding a navigation system being during a sacroiliac and thoracolumbar procedure. It was reported that the site's cross hair stationary was used, but probe in the trajectory was shown obliquely. The procedure was completed using the navigation with no patient injury. It occurred intra/peri-operatively with no delay to surgical time.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1723170-2019-02362
MDR Report Key8611337
Date Received2019-05-15
Date of Report2019-05-15
Date of Event2017-07-06
Date Mfgr Received2017-07-06
Date Added to Maude2019-05-15
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 Received2019-05-15
Model Number9734056
Catalog Number9734056
Device AvailabilityN
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerMEDTRONIC NAVIGATION, INC
Manufacturer Address826 COAL CREEK CIRCLE LOUISVILLE CO 80027 US 80027


Patients

Patient NumberTreatmentOutcomeDate
10 2019-05-15

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