FDA Adverse Event Malfunction Summary report: N

MICROTEK

MDR report key: 23200993 · Received October 2, 2025

Report

Report Number
8043817-2025-00007
Event Type
Malfunction
Date Received
October 2, 2025
Date of Event
August 4, 2025
Report Date
October 2, 2025
Manufacturer
MICROTEK MEDICAL LLC
Product Code
PUI
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MA, US
Reporter Occupation
501

Narratives

Additional Manufacturer Narrative · 0

THE EVENT WAS REPORTED AS A PRODUCT PROBLEM BECAUSE THE ISSUE INVOLVED A TEAR IN THE STERILE DRAPE, WHICH CONSTITUTES A DEVICE MALFUNCTION. ALTHOUGH THE PATIENT DEVELOPED A POSTOPERATIVE INFECTION REQUIRING A DAIR PROCEDURE, THE AVAILABLE INFORMATION DOES NOT ESTABLISH A CAUSAL RELATIONSHIP BETWEEN THE DRAPE TEAR AND THE INFECTION. POSTOPERATIVE INFECTIONS CAN OCCUR FOR MULTIPLE REASONS UNRELATED TO THE DEVICE.

Description of Event or Problem · 0

IT WAS REPORTED BY THE CUSTOMER THAT DURING A TOTAL KNEE REPLACEMENT (TKR) PROCEDURE UTILIZING THE VELYS ROBOTIC SYSTEM, THE PLASTIC COVER OF THE ROBOTIC SAW REPORTEDLY BROKE, RESULTING IN A POTENTIAL CONTAMINATION OF THE SURGICAL FIELD. THE CUSTOMER INDICATED THAT THIS INCIDENT MAY HAVE CONTRIBUTED TO AN EARLY POSTOPERATIVE INFECTION. FOLLOWING THE PROCEDURE, THE PATIENT DEVELOPED AN INFECTION THAT REQUIRED A DEBRIDEMENT, ANTIBIOTICS, AND IMPLANT RETENTION (DAIR) PROCEDURE. BASED ON THE INFORMATION PROVIDED, A CAUSAL RELATIONSHIP BETWEEN THE REPORTED DEVICE ISSUE AND THE INFECTION HAS NOT BEEN CONFIRMED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2623474 MICROTEK VELYS¿ DEVICE STERILE DRAPE PUI MICROTEK MEDICAL LLC 4515-70-018 2494LR5100

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown