FDA Adverse Event Injury Summary report: N

ROBOTIC ARM INTERACTIVE ORTHOPEDIC SYSTEM

MDR report key: 2782055 · Received October 2, 2012

Report

Report Number
3005985723-2012-00210
Event Type
Injury
Date Received
October 2, 2012
Date of Event
September 1, 2012
Report Date
September 6, 2012
Manufacturer
MAKO SURGICAL
Product Code
HAW
PMA / PMN Number
K081867
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

AS PART OF NORMAL COMPLAINT FOLLOW-UP, AN EVALUATION WAS CONDUCTED BY MAKO SURGICAL WITH REGARD TO THIS EVENT. PATIENT X-RAYS WERE REVIEWED, AND IT WAS OBSERVED THAT THE SURGEON HAD ATTEMPTED TO INSERT THE BONE PIN ONCE BEFORE REMOVING IT AND INSERTING IT IN A DIFFERENT LOCATION IN THE TIBIA. THE PATIENT HAD AN EXTRA PIN HOLE, WHICH MADE A NOTCH IN THE LATERAL CORTEX OF THE TIBIA, CREATING A STRESS RISER.

Description of Event or Problem · 1

THE SURGEON HAD PERFORMED A SUCCESSFUL PARTIAL KNEE ARTHROPLASTY CASE USING THE ROBOTIC ARM INTERACTIVE ORTHOPEDIC SYSTEM (RIO) ON (B)(6) 2012. ABOUT FIVE WEEKS LATER, THE PATIENT SUFFERED A FRACTURE AT THE SITE OF THE TIBIAL BONE PIN HOLE. THE TIBIA WAS PLATED AND NAILED ON THE DATE OF EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ROBOTIC ARM INTERACTIVE ORTHOPEDIC SYSTEM STEREOTAXIC INSTRUMENT HAW MAKO SURGICAL 201000

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention RESTORIS MULTICOMPARTMENTAL KNEE PROTHESIS