CART 9733856 S7 STAFF ASSEMBLED 110V

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 2020-03-31 for CART 9733856 S7 STAFF ASSEMBLED 110V manufactured by Medtronic Navigation, Inc.

Event Text Entries

[185950989] Other relevant device(s) are: product id: 9735585, serial/lot #: version: (b)(4); product id: 9733437, serial/lot #: (b)(4), udi#: (b)(4); product id: 9733582, serial/lot #: (b)(4); product id: 9733438, serial/lot #: (b)(4), udi#: (b)(4); product id: 9733575, serial/lot #: (b)(4). The internal and external cables, psu and scu kit were returned to the manufacturer for analysis. After visual examination, no apparent physical damage was noted. The returned internal cable was found to be in good condition with no apparent physical damage and passed a continuity test with no opens or shorts detected. No problem found. The returned external cable has been pinched cutting the cable jacket and some internal wires. A continuity test revealed opens for wires 8, 11, and 12. The psu powered up without issue on the test bench. A check of the event log did not reveal any adverse events. The psu was found to be fully functional. The psu passed an accuracy test (aak) at. 21 mm with a passing threshold of. 35 mm. No problem found. The scu powered up on the test bench with no issues. A check of the event log showed communication issues with the psu indicating a psu problem, not scu. The scu was found to be fully functional. The hardware investigation found that the reported event was related to a hardware issue. If information is provided in the future, a supplemental report will be issued.
Patient Sequence No: 1, Text Type: N, H10


[185950990] Medtronic received information regarding a navigation system being used for a cranial resection procedure. It was reported that during the case the camera would not track instruments or the reference frame. The site was able to successfully register the patient but the system was not used for an hour. After that hour, the system could not track the reference frame and several instruments. The surgeon completed the case without navigation. The manufacturing representative pulled the system into the hall and it was noted that he was able to track three reference frames and three different instruments. The network device interface (ndi) toolbox showed no errors. There was a less than 1 hour delay to the procedure and no impact to patient outcome. It was later reported that after replacing hardware components, the camera displayed as disconnected in the application. The camera began power cycling. The configuration could not be set up and the ndi toolbox did not have the positioning sensor unit (psu) or polaris spectra system control unit (scu) listed. It was determined that the new external psu to scu cable was damaged by the manufacturer representative upon installation while running it up the camera arm.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1723170-2020-01114
MDR Report Key9904028
Report SourceCOMPANY REPRESENTATIVE,HEALTH
Date Received2020-03-31
Date of Report2020-03-31
Date of Event2020-03-10
Date Mfgr Received2020-03-10
Device Manufacturer Date2017-01-24
Date Added to Maude2020-03-31
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 NameCART 9733856 S7 STAFF ASSEMBLED 110V
Generic NameINSTRUMENT, STEREOTAXIC
Product CodeHAW
Date Received2020-03-31
Returned To Mfg2020-03-18
Model Number9733856
Catalog Number9733856
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
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 2020-03-31

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