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,foreig report with the FDA on 2020-03-31 for STEALTHSTATION S8 EM ENT SYSTEM 9735669 manufactured by Medtronic Navigation, Inc.

Event Text Entries

[186539970] Site was not requesting service. If information is provided in the future, a supplemental report will be issued.
Patient Sequence No: 1, Text Type: N, H10


[186539971] Medtronic received information regarding a navigation system being used for a functional endoscopic sinus surgery (fess) procedure. A side and underhead emitter were used for the procedure. Registration and first operation steps were performed with the same setting with the underhead emitter. It was also reported registration was good with an overhead accuracy of less than 2mm. The first deviation (interpreted as inaccuracy) occurred approximately 10 minutes after the start of the operation in the lower area of the nasal floor. The inaccuracy was estimated to be 4. 8mm (confirmed via provided images). When switching to the side emitter, the inaccuracy was a lot less in the same area of the nasal floor (approximately 1. 4mm confirmed via provided images). The issue did not result in a procedure delay. The procedure was completed without aborting navigation. There was no impact on patient outcome.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1723170-2020-01116
MDR Report Key9904095
Report SourceCOMPANY REPRESENTATIVE,FOREIG
Date Received2020-03-31
Date of Report2020-03-31
Date of Event2020-03-02
Date Mfgr Received2020-03-03
Device Manufacturer Date2018-02-09
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
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 CodeHAW
Date Received2020-03-31
Model Number9735669
Catalog Number9735669
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 2020-03-31

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