FDA Adverse Event Malfunction Summary report: N

REAL INTELLIGENCE CORI

MDR report key: 11113534 · Received January 4, 2021

Report

Report Number
3010266064-2021-00003
Event Type
Malfunction
Date Received
January 4, 2021
Date of Event
December 14, 2020
Report Date
October 27, 2021
Manufacturer
BLUE BELT TECHNOLOGIES
Product Code
OLO
UDI-DI
00885556757420
PMA / PMN Number
K193120
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

H3, H6: THE CORI CONSOLE P/N ROB10024 (B)(6) INTENDED FOR USE IN TREATMENT WAS RETURNED. NOTHING WAS IDENTIFIED VISUALLY THAT CONTRIBUTED TO THE REPORTED PROBLEM. AN ASSESSMENT OF LOG FILES COULD NOT BE COMPLETED BECAUSE THE APPROPRIATE LOG FILES WERE NOT ATTACHED. A FUNCTIONAL EVALUATION WAS PERFORMED. A KPC TEST WAS PERFORMED AND THE TEST PASSED. THE REPORTED PROBLEM WAS CONFIRMED. AN "INTERNAL ERROR" WAS PRESENTED DURING FEMUR POINT COLLECTION. 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, NO REASONABLE CONTRIBUTING FACTORS COULD BE IDENTIFIED BASED ON THE RECEIVED COMPLAINT INFORMATION AND INVESTIGATION RESULTS. FURTHER INVESTIGATION INTO THE REPORTED FAILURE IS BEING CONDUCTING TO DETERMINE IF ADDITIONAL ACTIONS ARE REQUIRED.

Additional Manufacturer Narrative · 0

H3, H6: THE CORI CONSOLE P/N ROB10024 SN(B)(6) INTENDED FOR USE IN TREATMENT WAS RETURNED. NOTHING WAS IDENTIFIED VISUALLY THAT CONTRIBUTED TO THE REPORTED PROBLEM. AN ASSESSMENT OF LOG FILES COULD NOT BE COMPLETED BECAUSE THE APPROPRIATE LOG FILES WERE NOT ATTACHED. A FUNCTIONAL EVALUATION WAS PERFORMED. A KPC TEST WAS PERFORMED AND THE TEST PASSED. THE REPORTED PROBLEM WAS CONFIRMED. AN "INTERNAL ERROR" WAS PRESENTED DURING FEMUR POINT COLLECTION. 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, NO REASONABLE CONTRIBUTING FACTORS COULD BE IDENTIFIED BASED ON THE RECEIVED COMPLAINT INFORMATION AND INVESTIGATION RESULTS. FURTHER INVESTIGATION INTO THE REPORTED FAILURE IS BEING CONDUCTING TO DETERMINE IF ADDITIONAL ACTIONS ARE REQUIRED.

Description of Event or Problem · 1

IT WAS REPORTED THAT AFTER UPGRADING BOTH THE CONSOLE AND THE SOFTWARE DURING A CORI TEST SAW BONE LAB/DEMO, THE START UP SEEMED TO BE PERFECTLY FINE. HOWEVER, THEY RECEIVED AN INTERNAL ERROR DURING THE CHECKPOINT VERIFICATION PHASE OF THE FEMUR: WHEN THEY WENT TO COLLECT THE FEMUR CHECKPOINT TO VERIFY. AS SOON AS THEY COLLECTED THE POINT, THE SCREEN ON THE 24 INCH MONITOR WENT BLACK AND WHEN IT CAME BACK ON, THE SCREEN PRESENTED AN INTERNAL ERROR ON THE CASE INFORMATION SCREEN. THIS BROUGHT THEM BACK TO THE BUR OPTION SCREEN AND THEY WERE ABLE TO PROCEED. NO PATIENT WAS INVOLVED. NO OTHER COMPLICATIONS WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
5011 REAL INTELLIGENCE CORI ORTHOPEDIC STEREOTAXIC INSTRUMENT OLO BLUE BELT TECHNOLOGIES ROB10024 00885556757420

Patients

Seq Age Sex Outcome Treatment
1