FDA Adverse Event Malfunction Summary report: N

ROSA RECON PLATFORM 220V

MDR report key: 18545066 · Received January 19, 2024

Report

Report Number
3009185973-2024-00001
Event Type
Malfunction
Date Received
January 19, 2024
Date of Event
January 8, 2024
Report Date
January 8, 2025
Manufacturer
MEDTECH SAS
Product Code
OLO
PMA / PMN Number
K210121
Removal / Correction Number
N/A
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TU
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

(B)(4). G2- (B)(6). H3- CUSTOMER HAS INDICATED THAT THE PRODUCT WILL NOT BE RETURNED TO ZIMMER BIOMET FOR INVESTIGATION. THE INVESTIGATION IS IN PROCESS. ONCE THE INVESTIGATION HAS BEEN COMPLETED, A FOLLOW-UP MDR WILL BE SUBMITTED.

Additional Manufacturer Narrative · 0

UPON REASSESSMENT OF THE REPORTED EVENT, IT WAS DETERMINED THIS PRODUCT SHOULD NOT HAVE BEEN REPORTED UNDER THIS MFR NUMBER. THIS REPORT SHOULD BE VOIDED AND A CORRECTED REPORT WILL BE FILED UNDER MFR NUMBER 9617840.

Additional Manufacturer Narrative · 0

THIS FOLLOW-UP IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION. IT WAS REPORTED THAT DURING THE CASE THE BLACK SENSOR CABLE BECAME LOOSE CAUSING A LOSS IN CONNECTION AND WAS LATER TIGHTENED. THE CAUSE OF THE LOOSENING OF THE CABLE WAS NOT REPORTED. PHYSICAL AND TECHNICAL EVALUATION WAS PERFORMED BY A FIELD SERVICE ENGINEER (FSE) AND THE FSE FOUND NO MALFUNCTION. THE SERIAL NUMBER WAS REVIEWED FOR ANY DEVIATIONS AND/OR ANOMALIES IN THE SERVICING/MAINTENANCE PROCESS THAT MAY HAVE CONTRIBUTED TO THIS REPORTED EVENT. NO DEVIATIONS OR ANOMALIES WERE DISCOVERED; THEREFORE, IT IS NOT EXPECTED THAT THE SERVICING/MAINTENANCE PROCESS CONTRIBUTED TO THE REPORTED ISSUE. THE REPORTED ISSUE NOT BEING CONFIRMED TO BE PRIOR TO FIRST USE SUGGESTS IT IS UNLIKELY TO BE THE RESULT OF MANUFACTURING. AS SUCH, A MANUFACTURING DHR REVIEW WAS NOT PERFORMED. THE ROOT CAUSE CANNOT BE DETERMINED AS THERE WAS NO INFORMATION AVAILABLE TO THE CIRCUMSTANCES LEADING TO THE LOOSENED CABLE. IF ANY FURTHER INFORMATION IS RECEIVED WHICH WOULD CHANGE OR ALTER ANY CONCLUSIONS OR INFORMATION, A SUPPLEMENTAL WILL BE FILED ACCORDINGLY. ZIMMER BIOMET WILL CONTINUE TO MONITOR FOR TRENDS.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING THE CASE, THE BLACK CABLE WHICH CONNECTS THE TORQUE SENSOR LOST ITS CONNECTION DURING THE TIBIAL CUT. WHEN THE ROBOT WAS PULLED BACK AND LOOKED AT, IT WAS SEEN THAT THE CONNECTION OF THE BLACK CABLE WAS DISCONNECTED. THE CONNECTION POINT OF THE CABLE WAS TIGHTENED. AFTER TIGHTENING THE SCREW SIDE OF THE CABLE, THE FAULT DISAPPEARED. ALL CUTS WERE FINISHED WHEN THE MALFUNCTION OCCURRED. THERE WAS NO NEGATIVE EFFECT ON THE PATIENT. THERE IS NO ADDITIONAL INFORMATION AVAILABLE.

Description of Event or Problem · 0

UPON REASSESSMENT OF THE REPORTED EVENT, IT WAS DETERMINED THIS PRODUCT SHOULD NOT HAVE BEEN REPORTED UNDER THIS MFR NUMBER. THIS REPORT SHOULD BE VOIDED AND A CORRECTED REPORT WILL BE FILED UNDER MFR NUMBER 9617840.

Description of Event or Problem · 0

NO FURTHER EVENT INFORMATION AVAILABLE AT THE TIME OF THIS REPORT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1123140 ROSA RECON PLATFORM 220V ROBOTIC SURGICAL ARM SYSTEM OLO MEDTECH SAS N/A N/A

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown