FDA Adverse Event
Injury
Summary report: N
ROSA RECON PLATFORM 220V
MDR report key: 13417029
·
Received February 1, 2022
Report
- Report Number
- 0009617840-2022-00009
- Event Type
- Injury
- Date Received
- February 1, 2022
- Date of Event
- January 12, 2022
- Report Date
- February 1, 2022
- Manufacturer
- ZIMMER CAS
- Product Code
- OLO
- PMA / PMN Number
- N/A
- Removal / Correction Number
- N/A
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- SN
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
ZIMMER BIOMET - (B)(4). THIS PRODUCT IS SIMILAR TO PMA/510(K) : K182964. 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.
Description of Event or Problem · 0
IT WAS REPORTED THAT FOLLOWING A TKA DONE BY ROSA KNEE SURGICAL INSTRUMENTATION, FEMORAL NOTCHING WAS NOTICED IN THE POST OPERATIVE X-RAYS. NO KNOWN IMPACT OR CONSEQUENCE TO THE PATIENT HAS BEEN REPORTED AT THIS TIME. ATTEMPTS HAVE BEEN MADE AND NO FURTHER INFORMATION HAS BEEN PROVIDED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1378431 | ROSA RECON PLATFORM 220V | ORTHOPEDIC STEREOTAXIC INSTRUMENT | OLO | ZIMMER CAS | N/A | N/A |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown | Other |