INSTRUMENT TRACKER EM ENT 9733533

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional report with the FDA on 2020-01-22 for INSTRUMENT TRACKER EM ENT 9733533 manufactured by Medtronic Navigation, Inc.

Event Text Entries

[183923290] If information is provided in the future, a supplemental report will be issued.
Patient Sequence No: 1, Text Type: N, H10


[183923291] Medtronic received information regarding a navigation system used during a functional endoscopic sinus surgery (fess). It was reported that the site had registered their patient and then they were unable to verify the straight suction. Technical services (ts) requested that they confirm the value in the software for the non-invasive patient tracker? And the value was 3. 4. It was recommended that any extra metal be removed from the electromagnetic (em) field. A monitor that was close to the emitter was brought back and the value dropped to around 1. 2. It was also confirmed that the emitter was about a "two fist distance" away from the em field. Ts recommended they move the emitter closer. After moving the emitter closer the surgeon was still unable to verify the instrumentation and the instrument tracker was intermittently not showing up in the tracking field. A new instrument tracker was plugged in and the issue resolved. There was a procedure delay of less than one hour and no impact to the patient.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1723170-2020-00216
MDR Report Key9616899
Report SourceHEALTH PROFESSIONAL
Date Received2020-01-22
Date of Report2020-02-14
Date of Event2020-01-21
Date Mfgr Received2020-01-23
Date Added to Maude2020-01-22
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 Report3

Device Details

Brand NameINSTRUMENT TRACKER EM ENT
Generic NameINSTRUMENT, STEREOTAXIC
Product CodePGW
Date Received2020-01-22
Model Number9733533
Catalog Number9733533
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
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 2020-01-22

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