FDA recall record

Medtronic Nexframe Stereotactic System and StealthStation Cranial software version 3.0 or recall — FDA Z-1995-2020

Entry point and lead placement inaccuracies during deep brain stimulation lead implantation procedures may occur when using a specific combination of the…

Class Iclassification
Z-1995-2020official record ID
May 27, 2020report date

Recall record at a glance

Official recordZ-1995-2020
CategoryMedical Device Recalls
ClassificationClass I
FDA record statusTerminated
Recalling firmMedtronic Navigation, Inc.
Report dateMay 27, 2020
Recall initiation dateAug 9, 2019
Quantity61 customers purchased the specified combination of equipment which may lead to this error.
LocationLouisville, CO, United States

Official product description

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 (deep brain stimulation) procedure. Neurological stereotaxic Instrument.

Why the product was recalled

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 information

Worldwide distribution including US nationwide, Austria, Canada, Italy, Romania, Spain, and United Kingdom.

How to read the classification

FDA Class I indicates a situation in which there is a reasonable probability that use of or exposure to the product will cause serious adverse health consequences or death. The classification shown here comes directly from the FDA enforcement record.

Additional record details

Recall type: Voluntary: Firm initiated. Initial notification: Letter.

What to do next

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