FDA Adverse Event Malfunction Summary report: N

ROSA

MDR report key: 12127136 · Received July 7, 2021

Report

Report Number
3009185973-2021-00167
Event Type
Malfunction
Date Received
July 7, 2021
Date of Event
June 8, 2021
Report Date
February 18, 2022
Manufacturer
MEDTECH SAS
Product Code
HAW
PMA / PMN Number
K101791
Removal / Correction Number
N/A
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
BIOMEDICAL ENGINEER
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

A FULL ANALYSIS OF THE DATA PROVIDED FOR INVESTIGATION HAS BEEN PERFORMED. UNFORTUNATELY, A LACK OF INFORMATION DID NOT PERMIT TO CONFIRM THE ISSUE. IT WAS CONFIRMED THAT THE ARM MADE A SOUND IN A PREDEFINED POSITION WITH A DISTANCE SENSOR ATTACHED TO THE ARM. HOWEVER, THAT SOUND CANNOT BE CONSIDERED AS ABNORMAL SINCE THE ENVIRONMENT OF THE ROOM IS UNKNOWN AND THAT A SIMPLE MECHANICAL CONSTRAINT ON MOTORS COULD BE A NORMAL CAUSE FOR THIS SOUND.

Description of Event or Problem · 0

DURING THE MAINTENANCE OF ROSA 2.5, ABNORMAL SOUND WAS FOUND IN THE MOVING PROCESS OF THE MANIPULATOR ARM.

Additional Manufacturer Narrative · 1

UDI# : NOT APPLICABLE (DEVICE MANUFACTURED BEFORE 2016). THE DEVICE HAS NOT BEEN EVALUATED YET FOR INVESTIGATION PURPOSE. ONCE THE EVALUATION IS PERFORMED, A FOLLOW-UP MEDWATCH REPORT WILL BE SUBMITTED.

Description of Event or Problem · 1

DURING THE MAINTENANCE OF ROSA 2.5, ABNORMAL SOUND WAS FOUND IN THE MOVING PROCESS OF THE MANIPULATOR ARM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1023983 ROSA COMPUTER-ASSISTED SURGICAL DEVICE HAW MEDTECH SAS ROSA 2.5 2.5.8.4

Patients

Seq Age Sex Outcome Treatment
1 Unknown