FDA Adverse Event Malfunction Summary report: N

REAL INTELLIGENCE CORI

MDR report key: 10778641 · Received November 3, 2020

Report

Report Number
3010266064-2020-01947
Event Type
Malfunction
Date Received
November 3, 2020
Date of Event
October 8, 2020
Report Date
October 6, 2021
Manufacturer
BLUE BELT TECHNOLOGIES
Product Code
OLO
UDI-DI
00885556757420
PMA / PMN Number
K191223
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TN, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

H3, H6: THE PRODUCT, RI CORI, ROB10024, (B)(6) INTENDED FOR USE IN TREATMENT WAS NOT RETURNED FOR EVALUATION; THUS, A VISUAL AND FUNCTIONAL EVALUATION COULD NOT BE PERFORMED, AND A RELATIONSHIP BETWEEN THE REPORTED EVENT AND THE DEVICE COULD NOT BE DETERMINED. A REVIEW OF MANUFACTURING AND SERVICE RECORDS INDICATE THE DEVICE MET ALL SPECIFICATIONS UPON RELEASE INTO DISTRIBUTION. A COMPLAINT HISTORY REVIEW FOR SIMILAR REPORTED/CONFIRMED COMPLAINTS HAS IDENTIFIED PRIOR EVENTS. ALTHOUGH THE REPORTED PROBLEM WAS NOT CONFIRMED, A FACTOR THAT MAY HAVE CONTRIBUTED TO THE REPORTED SYMPTOM MAY BE ASSOCIATED WITH A SOFTWARE ISSUE. ALTHOUGH NO FURTHER CONTAINMENT OR CORRECTIVE ACTION IS RECOMMENDED OR REQUIRED AT THIS TIME, ALL COMPLAINTS ARE MONITORED AND TRENDED THROUGH POST MARKET SURVEILLANCE ACTIVITIES. IF THE PRODUCT ASSOCIATED WITH THIS EVENT IS RETURNED OR PROVIDED AT A FUTURE DATE, THIS EVALUATION WILL BE REOPENED FOR INVESTIGATION.

Description of Event or Problem · 1

IT WAS REPORTED THAT AFTER PARTIALLY BURRING THE TIBIA DURING A CORI TKA LAB/DEMO, THEY DECIDED TO SWAP A 6MM CYLINDRICAL BUR FOR A 6MM CYLINDRICAL BUR. THEY DIDN¿T ACTUALLY TAKE THE BUR OUT, BUT WERE JUST DEMONSTRATING THE WORKFLOW FOR TEACHING PURPOSES. UPON ADVANCING TO CALIBRATION, THE SCREEN WENT BLACK FOR ABOUT 10 SECONDS. WHEN IT CAME BACK ON THERE WAS AN ERROR MESSAGE. THE SYSTEM KICKED THEM OUT OF THE CASE. THEY RESUMED THE CASE AND WERE ABLE TO PICK UP WHERE THEY WERE LEFT OFF WITH A DELAY OF FEWER THAN 30 MINUTES. NO PATIENT WAS INVOLVED. NO OTHER COMPLICATIONS WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1246541 REAL INTELLIGENCE CORI ORTHOPEDIC STEREOTAXIC INSTRUMENT OLO BLUE BELT TECHNOLOGIES ROB10024 00885556757420

Patients

Seq Age Sex Outcome Treatment
1