BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ROSA RECON PLATFORM 220V

    MDR report key: 13205739 · Received January 10, 2022

    Report

    Report Number
    0009617840-2022-00002
    Event Type
    Injury
    Date Received
    January 10, 2022
    Date of Event
    December 17, 2021
    Report Date
    June 29, 2022
    Manufacturer
    ZIMMER CAS
    Product Code
    OLO
    PMA / PMN Number
    N/A
    Removal / Correction Number
    N/A
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AS
    Reporter Occupation
    PHYSICIAN
    Health Professional
    Yes

    Narratives

    Additional Manufacturer Narrative · 0

    (B)(4). THIS PRODUCT IS SAME/SIMILAR TO 510(K): K182964, AND PRODUCT CODE: OLO. THE DEVICE WILL NOT BE RETURNED FOR ANALYSIS; HOWEVER, AN INVESTIGATION OF THE REPORTED EVENT IS IN PROGRESS. ONCE THE INVESTIGATION IS COMPLETED, A SUPPLEMENTAL MEDWATCH 3500A WILL BE SUBMITTED.

    Additional Manufacturer Narrative · 0

    ZIMMER BIOMET (B)(4). THIS FINAL REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL AND/OR CORRECTED INFORMATION. THROUGH REASSESSMENT OF THIS EVENT, IT WAS IDENTIFIED AS BEING REPORTED IN ERROR. REPORTABILITY IS BASED ON HARM/INTERVENTION REQUIRED AND NOT A SPECIFIC RESECTION LEVEL. NO PATIENT IMPACT, MEDICAL INTERVENTION, OR SURGICAL INTERVENTION WAS REPORTED FOR THIS EVENT; THEREFORE, THE EVENT DOES NOT MEET THE REQUIREMENTS FOR A SERIOUS INJURY/ADVERSE EVENT AND IS CONSIDERED NOT REPORTABLE.

    Description of Event or Problem · 0

    IT WAS REPORTED THAT DURING A TKA SURGERY USING ROSA INSTRUMENTATION, THE TIBIA WAS OVER-RESECTED BY 3MM POSTERIOR-LATERAL. THIS WAS VALIDATED USING CALIPERS. TISSUE RELEASES AND BONE RECUTS HAD TO BE MADE TO BALANCE THE KNEE. A THICKER POLY HAD TO BE USED THAN WOULD HAVE BEEN THE CASE IF ROSA HAD CORRECTLY CUT THE REQUIRED AMOUNT OF BONE. THERE WAS NO ADDITIONAL PATIENT IMPACT REPORTED. ATTEMPTS HAVE BEEN MADE AND NO FURTHER INFORMATION HAS BEEN PROVIDED.

    Description of Event or Problem · 0

    IT WAS REPORTED THAT DURING A TKA SURGERY USING ROSA INSTRUMENTATION, THE TIBIA WAS OVER-RESECTED BY 3MM POSTERIOR-LATERAL. THIS WAS VALIDATED USING CALIPERS. TISSUE RELEASES AND BONE RECUTS HAD TO BE MADE TO BALANCE THE KNEE. A THICKER POLY HAD TO BE USED THAN WOULD HAVE BEEN THE CASE IF ROSA HAD CORRECTLY CUT THE REQUIRED AMOUNT OF BONE. THERE WAS NO ADDITIONAL PATIENT IMPACT REPORTED. ATTEMPTS HAVE BEEN MADE AND NO FURTHER INFORMATION HAS BEEN PROVIDED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    963570 ROSA RECON PLATFORM 220V ORTHOPEDIC STEREOTAXIC INSTRUMENT OLO ZIMMER CAS N/A N/A

    Patients

    Seq Age Sex Outcome Treatment
    1 Unknown Other