FUSION COMPACT 9735602

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a foreign,health professional report with the FDA on 2020-02-28 for FUSION COMPACT 9735602 manufactured by Medtronic Navigation, Inc.

Event Text Entries

[181428761] The unique identifier was not available at the time of reporting. Other relevant device(s) are: product id: 9735602, serial/lot #: 1941099, udi#: (b)(4). Initial reporter: foreign country: (b)(6). The manufacturer representative went to the site to test the navigation system. The reported issue was confirmed and the computer was replaced. A system checkout was performed and the issue was resolved. The manufacture date was not available at the time of reporting. If information is provided in the future, a supplemental report will be issued.
Patient Sequence No: 1, Text Type: N, H10


[181428762] Medtronic received information regarding a navigation system being used in a ent procedure. It was reported that the staff decided to reboot the system because the imported patient exam was not recognized by the system. After they did a complete shutdown the site started the system but it remain with a black screen. Both navigation and imaging were aborted causing less than an hour delay in the case. No impact on patient outcome.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1723170-2020-00670
MDR Report Key9769122
Report SourceFOREIGN,HEALTH PROFESSIONAL
Date Received2020-02-28
Date of Report2020-02-28
Date of Event2020-02-12
Date Mfgr Received2020-02-12
Date Added to Maude2020-02-28
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
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 NameFUSION COMPACT
Generic NameEAR, NOSE AND THROAT STEREOTAXIC INSTRUMENT
Product CodePGW
Date Received2020-02-28
Model Number9735602
Catalog Number9735602
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 2020-02-28

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