inforMED
MalfunctionHAW

NDI PASSIVE SPHERES

Received Sep 25, 2014 · Event occurred Sep 2, 2014

Report 3002743211-2014-00037 · MDR key 4134633

Device

Generic name

Reflective Passive Marker Spheres; Haw, Olo

Model number

8801074, 8801075

Lot number

1406141, -5311, -6191

Product problems

  • Device Operates Differently Than Expected

Patient

Not reported

  • No Known Impact Or Consequence To Patient

Narrative

Description of Event or Problem

REFLECTIVE STERILE SPHERES FAILED TO TRACK DURING A PROCEDURE. CLINICAL SPECIALIST REPORTED SOME OF THE SPHERES SHOWED VISIBLE DAMAGE. ATTEMPTED TO WIPE OFF SPHERES, BUT ENDED UP CHANGING THEM OUT. ANOTHER SET OF STERILE SPHERES WERE USED TO COMPLETE THE PROCEDURE WITHOUT ANY ISSUE. THIS EVENT WAS COMMUNICATED BY MEDTRONIC NAVIGATION. SITE/USER DID NOT TAKE PICTURES OF SPHERE. STILL WAITING FOR SITE/USER TO RETURN SPHERES. NO SERIOUS IMPLICATIONS TO THIS ISSUE WERE MENTIONED BY THE COMPLAINANT. NO PATIENT WAS HARMED AND NO SERIOUS INJURY OCCURRED.