FDA Adverse Event Malfunction Summary report: N

ROSA ONE

MDR report key: 11371747 · Received February 24, 2021

Report

Report Number
3009185973-2021-00059
Event Type
Malfunction
Date Received
February 24, 2021
Date of Event
February 3, 2021
Report Date
April 29, 2021
Manufacturer
MEDTECH SA
Product Code
HAW
PMA / PMN Number
K200511
Removal / Correction Number
N/A
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

A FULL ANALYSIS OF THE DATA LOGS HAS BEEN PERFORMED AND CONCLUDED THAT THE BLANK POPUP AND FREEZE WERE DUE TO THE OVERLAPPING OF TWO COMMANDS, A COOPERATIVE SLOW MODE AND AN AUTOMATIC MOVEMENT. THIS IS DUE TO A KNOWN SOFTWARE ANOMALY WHICH WILL BE ADDRESSED THROUGH OUR CONTINUOUS IMPROVEMENT PROCESS.

Description of Event or Problem · 0

BLANK SCREEN DISPLAYED, WHEN MOVEMENT IN PROGRESS SCREEN SHOULD HAVE BEEN DISPLAYED, COMPANY REPRESENTATIVE UNABLE TO GET SOFTWARE TO RESPOND, REQUIRED COMPANY REPRESENTATIVE TO HIT EMERGENCY STOP BUTTON TO RESTART SOFTWARE AND RECONNECT TO CONTROLLER. DELAY OF 5 MINUTES.

Additional Manufacturer Narrative · 1

THE DEVICE HAS NOT BEEN EVALUATED YET FOR INVESTIGATION PURPOSE. ONCE THE EVALUATION IS PERFORMED, A FOLLOW-UP MEDWATCH REPORT WILL BE SUBMITTED. UNIQUE IDENTIFIER (UDI) #: (B)(4).

Description of Event or Problem · 1

BLANK SCREEN DISPLAYED, WHEN MOVEMENT IN PROGRESS SCREEN SHOULD HAVE BEEN DISPLAYED, COMPANY REPRESENTATIVE UNABLE TO GET SOFTWARE TO RESPOND, REQUIRED COMPANY REPRESENTATIVE TO HIT EMERGENCY STOP BUTTON TO RESTART SOFTWARE AND RECONNECT TO CONTROLLER. DELAY OF 5 MINUTES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
271600 ROSA ONE COMPUTER-ASSISTED SURGICAL DEVICE HAW MEDTECH SA ROSA ONE 3.1.4.1650

Patients

Seq Age Sex Outcome Treatment
1