POLESTAR FLEXICOIL
Received Jun 1, 2010 · Event occurred Mar 30, 2010
Report 1723170-2010-00016 · MDR key 1708849
Device
Generic name
Coil, Magnetic Resonance Specialty (mos)
Manufacturer
Medtronic Navigation Israel, LtdModel number
FLEXICOILCatalog number
9733063
Lot number
UNK
Product problems
- Improper or Incorrect Procedure or Method
Patient
33 YR
- Full thickness (Third Degree) Burn
Narrative
Description of Event or Problem
DURING A CRANIOTOMY PROCEDURE IN (B) (6), HOSPITAL USED MEDTRONIC NAVIGATION'S POLESTAR SYSTEM, THE FLEXICOIL WITH ITS ELECTRONIC BOX WAS PLACED ON PATIENT FOREHEAD. SURGERY WAS PERFORMED AS EXPECTED. AFTER SURGERY, IT WAS FOUND UNDER THE ELECTRONIC BOX, THE PATIENT EXPERIENCED A THIRD DEGREE BURN.
Additional Manufacturer Narrative
PATIENT'S WEIGHT WAS NOT AVAILABLE AT THE TIME OF THIS REPORT. LOT NUMBER AND DATE OF MANUFACTURE NOT AVAILABLE AS PART WAS DISPOSED BY HOSPITAL. ACTUAL DEVICE NOR LOT NUMBER WAS AVAILABLE. EVALUATION WAS CONDUCTED ON A RANDOM COLLECTION OF FLEXICOILS FROM DIFFERENT BATCHES. UNDER WORST CONDITION TESTING, THE HOTTEST TEMPERATURE RECORDED WAS 44.1 DEGREES CELSIUS.