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FDA (Device enforcement)Recalled 2019-08-09closedclass i

Medtronic Navigation, Inc.: Medtronic Nexframe Stereotactic System and StealthStation Cranial software version 3.0 or newer with StealthStation DBS License or StealthStation S8 Software with Stealth D

Is my product affected?

Medtronic Nexframe Stereotactic System and StealthStation Cranial software version 3.0 or newer with StealthStation DBS License or StealthStation S8 Software with Stealth DBS License and O-arm Imaging System utilizing the auto-registration (fiducial- less) workflow used in combination during a DBS (

  • UPC 00643169878204
  • UPC 00643169625549
  • UPC 00763000068073
  • UPC 00763000068080
  • UPC 00763000068097
  • UPC 00763000068103
  • UPC 00763000074050
  • UPC 00763000074067
  • UPC 00763000074074
  • UPC 00763000074081
  • UPC 00763000074098
  • UPC 00763000074104
  • UPC 00763000074111
  • UPC 00763000074128
  • UPC 00763000074135
  • UPC 00763000079000
  • UPC 00763000079017
  • UPC 00763000079024
  • UPC 00763000079031
  • UPC 00763000079048
  • UPC 00763000079055
  • UPC 00763000079062
  • UPC 00763000079079
  • UPC 00763000079086
  • UPC 00763000079093
  • UPC 00763000079109
  • UPC 00763000079215
  • UPC 00763000079246
  • UPC 00763000079260
  • UPC 00763000080969
  • UPC 00763000080976
  • UPC 00763000080983
  • UPC 00763000080990
  • UPC 00763000081003
  • UPC 00763000081010
  • UPC 00763000081027
  • UPC 00763000081034
  • UPC 00763000081041
  • UPC 00763000081058
  • UPC 00763000081065

Check against the official notice below — it lists the full affected range.

What happened

Medtronic is recalling a specific combination of its Nexframe Stereotactic System, StealthStation Cranial software version 3.0 or newer with DBS License (or StealthStation S8 Software with Stealth DBS License), and O-arm Imaging System when used together with the auto-registration feature during deep brain stimulation lead implantation procedures. The issue is that minor patient movement may not be detected during the auto-registration scan process, potentially leading to inaccurate entry points or lead placement, surgical delays, aborted procedures, or the need for additional intervention including revision surgery. Sixty-one customers worldwide purchased this equipment combination, which has been distributed in the United States, Austria, Canada, Italy, Romania, Spain, and the United Kingdom.

The recall affects the specified software versions and imaging systems identified by their GTINs listed in the recall notice. The source document does not specify a remedy or action for affected consumers to take.

Written by software from the official notice below. Not reviewed by a lawyer.

Hazard

Entry point and lead placement inaccuracies during deep brain stimulation lead implantation procedures may occur when using a specific combination of the firm's Steriotactic System and auto-registration feature with a specific imaging system (also known as a fiducial-less procedure). Minor patient movement may not be initially detected by the user or the software during the auto-registration scan process potentially resulting in inaccuracies and risks for the patient including: inaccurate lead placement, delay of surgery, aborted surgery, or additional intervention (including revision of the lead placement and subsequent imaging).

Details from the source

Reason for recall: Entry point and lead placement inaccuracies during deep brain stimulation lead implantation procedures may occur when using a specific combination of the firm's Steriotactic System and auto-registration feature with a specific imaging system (also known as a fiducial-less procedure). Minor patient movement may not be initially detected by the user or the software during the auto-registration scan process potentially resulting in inaccuracies and risks for the patient including: inaccurate lead placement, delay of surgery, aborted surgery, or additional intervention (including revision of the lead placement and subsequent imaging). Distribution: Worldwide distribution including US nationwide, Austria, Canada, Italy, Romania, Spain, and United Kingdom. Quantity: 61 customers purchased the specified combination of equipment which may lead to this error. Lot/code info: Medtronic Nexframe Stereotactic System and StealthStation Cranial software version 3.0 or newer with StealthStation DBS License or StealthStation S8 Software with Stealth DBS License and O-arm Imaging System utilizing the auto-registration (fiducial- less) workflow used in combination during a DBS procedure. Stealthware Station Cranial Software GTIN(s): 00643169878204, 00643169625549 O-Arm Imaging System GTIN(s): 00763000068073, 00763000068080, 00763000068097, 00763000068103, 00763000074050, 00763000074067, 00763000074074, 00763000074081, 00763000074098, 00763000074104, 00763000074111, 00763000074128, 00763000074135, 00763000079000, 00763000079017, 00763000079024, 00763000079031, 00763000079048, 00763000079055, 00763000079062, 00763000079079, 00763000079086, 00763000079093, 00763000079109, 00763000079215, 00763000079246, 00763000079260, 00763000080969, 00763000080976, 00763000080983, 00763000080990, 00763000081003, 00763000081010, 00763000081027, 00763000081034, 00763000081041, 00763000081058, 00763000081065, 00763000081072, 00763000081089, 00763000081096 and 00763000081102. Nexframe Stereotactic System GTIN(s): DB-2040, 00643169214811; MI-1000, 00643169986763; MI-2000, 00643169986770; NP-1000, 00613994747877.

Source

Official record: FDA (Device enforcement) ↗

Republished from the official source above; details can change — the source record controls.

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