The Recall Desk
HighFDA (Devices)·Z-1039-2023·Announced 2023-02-08

Non-Invasive Patient Tracker Verification Failure During Image-Guided Surgery

Medtronic is recalling AxiEM Non-Invasive Patient Trackers due to increasing complaints that users cannot verify their navigation instruments work properly during image-guided surgery. The verification failure affects approximately 1,867 devices worldwide.

What this means for you

Real risk of harm even if no illness or injury has been reported yet. Stop using the product and follow the agency's guidance.

Our severity reasoning: Class II medical device recall with no reported illnesses or injuries. The hazard is a risk-of-harm scenario where a surgical navigation device cannot be properly verified during use, potentially allowing undetected malfunction. This meets the rubric criterion for High severity: risk-of-harm products where injury has not yet been reported.

Plain-English summary

Medtronic Navigation, Inc. is recalling the AxiEM Non-Invasive Patient Tracker system due to an increasing complaint trend where users are unable to successfully verify that their navigation instruments are functioning properly during image-guided surgical procedures.

The recall affects approximately 1,867 devices distributed worldwide, including to U.S. states: Alabama, Arkansas, Arizona, California, Colorado, District of Columbia, Delaware, Florida, Georgia, Hawaii, Iowa, Idaho, Illinois, Indiana, Kansas, Kentucky, Louisiana, Massachusetts, Maryland, Michigan, Minnesota, Missouri, Mississippi, Montana, North Carolina, Nebraska, New Jersey, Nevada, New York, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Utah, Virginia, Washington, Wisconsin, and West Virginia. Distribution also extended to Japan.

Affected users should contact Medtronic Navigation, Inc. regarding this verification issue.

The recalled product

Product
AxiEM" Non-Invasive Patient Tracker
Manufacturer
Medtronic Navigation, Inc.
Hazard
  • verification-failure
  • malfunction-risk

Distribution

Distributed in 41 states:

  • AL
  • AR
  • AZ
  • CA
  • CO
  • DC
  • DE
  • FL
  • GA
  • HI
  • IA
  • ID
  • IL
  • IN
  • KS
  • KY
  • LA
  • MA
  • MD
  • MI
  • MN
  • MO
  • MS
  • MT
  • NC
  • NE
  • NJ
  • NV
  • NY
  • OH
  • OK
  • OR
  • PA
  • SC
  • TN
  • TX
  • UT
  • VA
  • WA
  • WI
  • WV