FDA Adverse Event
Malfunction
Summary report: N
MAKO ROBOT INTEGRATED CUTTING SYSTEM
MDR report key: 11648171
·
Received April 9, 2021
Report
- Report Number
- MW5100697
- Event Type
- Malfunction
- Date Received
- April 9, 2021
- Date of Event
- March 30, 2021
- Report Date
- April 8, 2021
- Manufacturer
- MAKO SURGICAL CORPORATION
- Product Code
- OLO
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- PA, US
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
THE MAKO INTEGRATED CUTTING SYSTEM MICS SECUREMENT TAB AND PIN FELL OFF OF DEVICE DURING PROCEDURE. FDA SAFETY REPORT ID #: (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 542242 | MAKO ROBOT INTEGRATED CUTTING SYSTEM | ORTHOPEDIC STEREOTAXIC INSTRUMENT | OLO | MAKO SURGICAL CORPORATION | 209063 | 42060319 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 61 YR |