STEALTHSTATION S8 PREMIUM SYSTEM 9735665

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,foreig report with the FDA on 2020-03-27 for STEALTHSTATION S8 PREMIUM SYSTEM 9735665 manufactured by Medtronic Navigation, Inc.

Event Text Entries

[186751608] Concomitant medical products: other relevant device(s) are: product id: 9735999 , serial/lot : (b)(4), udi: (b)(4). A medtronic representative went to the site to test the equipment. The issue was confirmed. The ssd was replaced. The system then passed the system checkout and was found to be fully functional. If information is provided in the future, a supplemental report will be issued.
Patient Sequence No: 1, Text Type: N, H10


[186751609] Medtronic received information regarding a navigation system being used for a sacroiliac and thoracolumbar procedure. During the procedure, an error message displayed on the navigation system when a navigated scan was sent from the imaging system. A second image acquisition and push resulted in the same error. The procedure was completed by using a second navigation system. Since the second navigation could receive the image, the imaging system was ruled out as fault. It was confirmed the correct images were being sent to the navigation system. The issue resulted in less than one hour procedure delay. Additional information received indicated the system software and hardware resolved the reported issue. The cause of the reported error message was likely related to having too many patient exams (dating back 18 months that degraded), a bad file name was pushed from the imaging system (used picture archiving and communication systems worklists to collect patient information), or the navigation system was "shut down hard" (site staff did not recall this happening).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1723170-2020-01096
MDR Report Key9892298
Report SourceCOMPANY REPRESENTATIVE,FOREIG
Date Received2020-03-27
Date of Report2020-03-27
Date of Event2020-03-10
Date Mfgr Received2020-03-10
Device Manufacturer Date2018-08-16
Date Added to Maude2020-03-27
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 PREMIUM SYSTEM
Generic NameINSTRUMENT, STEREOTAXIC
Product CodeHAW
Date Received2020-03-27
Model Number9735665
Catalog Number9735665
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 2020-03-27

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