FUSION COMPACT 9735602

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative report with the FDA on 2020-03-25 for FUSION COMPACT 9735602 manufactured by Medtronic Navigation, Inc.

Event Text Entries

[184911566] No patient information provided as no patient was involved in this concern. The unique identifier was not available at the time of the event. No parts have been received by the manufacturer for evaluation. The manufacturer 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


[184911567] Medtronic received information regarding a navigation system. It was reported outside of a procedure that upon boot up the system was displaying that localizer was disconnected. The emitter box displayed 7, and emitter was not chirping. Troubleshooting included technical services walking through recommended boot sequence. Computer booted up first, emitter booted up separately then re-establishing communication with usb connection. Additionally try booting up while connected. The issue did not resolve, still reflected as amber line of communication and localizer not connected. The site stated that there was a report of a power outage over the weekend. No patient was present at the time of the event.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1723170-2020-01061
MDR Report Key9879632
Report SourceCOMPANY REPRESENTATIVE
Date Received2020-03-25
Date of Report2020-03-25
Date of Event2020-03-17
Date Mfgr Received2020-03-17
Date Added to Maude2020-03-25
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 NameFUSION COMPACT
Generic NameEAR, NOSE AND THROAT STEREOTAXIC INSTRUMENT
Product CodePGW
Date Received2020-03-25
Model Number9735602
Catalog Number9735602
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerMEDTRONIC NAVIGATION, INC
Manufacturer Address826 COAL CREEK CIRCLE LOUISVILLE CO 80027 US 80027


Patients

Patient NumberTreatmentOutcomeDate
10 2020-03-25

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