STEALTHSTATION S8 EM ENT SYSTEM 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 2020-03-06 for STEALTHSTATION S8 EM ENT SYSTEM 9735669 manufactured by Medtronic Navigation, Inc.

Event Text Entries

[183568490] Other relevant device(s) are: product id: 9735736, software version: 1. 2. 0. No parts have been received by the manufacturer for evaluation. If information is provided in the future, a supplemental report will be issued.
Patient Sequence No: 1, Text Type: N, H10


[183568491] Medtronic received information regarding a navigation system being used for a functional endoscopic sinus surgery (fess). It was reported that the site was unable to load an exam. The site had attempted two other discs before calling technical services (ts). It was reported that the system would state it was attempting to read the digital intercommunication of medicine (dicom) but then the message would go away and nothing would happen. The site checked a non-medtronic dicom solution to see if the exam would load that way but that did not resolve the issue. A manufacturer representative logged into the admin and opened up the disc which showed the director file and exam contents. The exam contents were moved into a folder on the desktop to attempt to load through the file system, but the issue remained. The procedure was completed without the use of the navigation system and there was no reported impact to patient outcome. There was a reported delay to the procedure of less than one hour due to this issue. It was noted that the same exam loaded without issue onto a different navigation system.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1723170-2020-00784
MDR Report Key9802192
Report SourceCOMPANY REPRESENTATIVE,HEALTH
Date Received2020-03-06
Date of Report2020-04-01
Date of Event2020-03-03
Date Mfgr Received2020-03-10
Device Manufacturer Date2016-10-07
Date Added to Maude2020-03-06
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 NameSTEALTHSTATION S8 EM ENT SYSTEM
Generic NameINSTRUMENT, STEREOTAXIC
Product CodePGW
Date Received2020-03-06
Returned To Mfg2020-03-10
Model Number9735669
Catalog Number9735669
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 2020-03-06

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