FDA Adverse Event Malfunction Summary report: N

REAL INTELLIGENCE CORI

MDR report key: 14639593 · Received June 8, 2022

Report

Report Number
3010266064-2022-00466
Event Type
Malfunction
Date Received
June 8, 2022
Date of Event
May 23, 2022
Report Date
September 6, 2022
Manufacturer
BLUE BELT TECHNOLOGIES
Product Code
OLO
UDI-DI
00885556757420
PMA / PMN Number
K193120
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IN, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

INTERNAL COMPLAINT REFERENCE: (B)(4).

Additional Manufacturer Narrative · 0

H3, H6: THE REAL INTELLIGENCE CORI, PART NUMBER ROB10024, USED FOR TREATMENT WAS NOT RETURNED FOR EVALUATION. A RELATIONSHIP BETWEEN THE REPORTED EVENT AND THE DEVICE COULD NOT BE ESTABLISHED. A COMPLAINT HISTORY REVIEW FOR SIMILAR REPORTED/CONFIRMED COMPLAINTS HAS IDENTIFIED PRIOR EVENTS. A REVIEW OF MANUFACTURING RECORDS INDICATE THE DEVICE MET ALL SPECIFICATIONS UPON RELEASE INTO DISTRIBUTION. THE FAILURE MODE AND ASSOCIATED RISK HAVE BEEN ANTICIPATED WITHIN THE RISK FILE. THE RISK LEVEL IS STILL ADEQUATE. ALTHOUGH THE REPORTED PROBLEM WAS NOT CONFIRMED THROUGH A VISUAL OR FUNCTIONAL EVALUATION, FACTORS CONTRIBUTING TO THE REPORTED SYMPTOM MAY HAVE BEEN ASSOCIATED WITH CONSOLE SOFTWARE BUG. BASED ON THE INVESTIGATION, THE NEED FOR A CORRECTIVE ACTION IS NOT RECOMMENDED OR REQUIRED AT THIS TIME. SHOULD ANY ADDITIONAL INFORMATION BE RECEIVED THE COMPLAINT WILL BE REOPENED. THE FAILURE MODE WILL CONTINUE TO BE CLOSELY MONITORED THROUGH COMPLAINT INVESTIGATION AND TRENDED THROUGH POST MARKET SURVEILLANCE ACTIVITIES.

Description of Event or Problem · 0

IT WAS REPORTED THAT, DURING A CORI LAB/DEMO, THEY STARTED A TKA CASE, PLUGGED IN THE REAL INTELLIGENCE ROBOTIC DRILL, UNLOCKED THE DRILL, RECEIVED CRITICAL DRILL ERROR AND GOT BOOTED FROM CASE. SO, THEY WENT TO DRILL DIAGNOSTIC, TRIED TO UNLOCK THE REAL INTELLIGENCE ROBOTIC DRILL AND GOT SOME SOUNDS. IN ADDITION, THEY WERE NOT ABLE TO INSERT THE BURR NOR PUSHED THE CARRIAGE BACK WITH BURR, TRIED AGAIN AND WAS NO MOVEMENT INSIDE THE DRILL. THE RI ROBOTIC DRILL ATTACHMENT AND REAL INTELLIGENCE ROBOTIC DRILL TRACKER ARE STUCK ON THE REAL INTELLIGENCE ROBOTIC DRILL. THEY TRIED TO GET THE ATTACHMENT OFF WITH VICE GRIPS WITH NO LUCK. THEN, TRIED REBOOTING, AND HAD NO LUCK. THE LAB/DEMO WAS PERFORMED, USING A S+N BACK-UP DEVICE. THERE WAS NO PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
679846 REAL INTELLIGENCE CORI ORTHOPEDIC STEREOTAXIC INSTRUMENT OLO BLUE BELT TECHNOLOGIES ROB10024 00885556757420

Patients

Seq Age Sex Outcome Treatment
1 Unknown REAL INTELLIGENCE ROBOTIC DRILL TRACKER