S8 ENT 9735669

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,health report with the FDA on 2020-02-03 for S8 ENT 9735669 manufactured by Medtronic Navigation, Inc.

Event Text Entries

[177647526] The system was serviced in the field and no failure was found. The system passed all checkouts and was performing as intended. Other relevant device(s) are: order part: sfw kit, 9735736, stealth s8 ent eu-sc software: sw app 9735762, stealth s8 app. If information is provided in the future, a supplemental report will be issued.
Patient Sequence No: 1, Text Type: N, H10


[177647527] Medtronic received information regarding a navigation system used during a functional endoscopic sinus surgery (fess). It was reported that the site was able to register the patient, but when they went into navigate the instrumentation was not showing as tracking in the tracking view. The instrumentation was green in the emitter details. The instrumentation was re-plugged in and this resolved the issue. 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 Number1723170-2020-00332
MDR Report Key9659867
Report SourceCOMPANY REPRESENTATIVE,HEALTH
Date Received2020-02-03
Date of Report2020-02-03
Date of Event2020-01-30
Date Mfgr Received2020-01-30
Device Manufacturer Date2018-09-27
Date Added to Maude2020-02-03
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 NameS8 ENT
Generic NameEAR, NOSE AND THROAT STEREOTAXIC INSTRUMENT
Product CodePGW
Date Received2020-02-03
Model Number9735669
Catalog Number9735669
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
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 2020-02-03

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