FDA Adverse Event
Other
Summary report: N
ARTAS
MDR report key: 3472081
·
Received October 30, 2013
Report
- Report Number
- 3006515340-2013-00001
- Event Type
- Other
- Date Received
- October 30, 2013
- Date of Event
- October 8, 2013
- Report Date
- October 29, 2013
- Manufacturer
- RESTORATION ROBOTICS
- Product Code
- ONA
- PMA / PMN Number
- K123548
- Removal / Correction Number
- 3006515340-10/17/13-001C
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- KS
- Reporter Occupation
- PHYSICIAN
Narratives
Additional Manufacturer Narrative · 1
ADD'L MODEL NUMBERS: (B)(4). DISCOLORATION DUE TO INSUFFICIENT CLEANING OF STAINLESS STEEL PINS DURING PASSIVATION PROCESS. THERE HAVE BEEN NO ADVERSE EVENT ASSOCIATED WITH THIS ISSUE. USERS NOTIFICATION INITIATED 8 OCT 2013. CORRECTION 3006515340-10/17/13-001C, REPORTED TO (B)(4) FIELD OFFICE (B)(4) 2013.
Description of Event or Problem · 1
DISCOLORATION OBSERVED ON PINS USED IN DISPOSABLE SKIN TENSIONER. TO DATE NO SERIOUS INJURY HAS BEEN REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 556283 | ARTAS | ARTAS SYSTEM | ONA | RESTORATION ROBOTICS | FP-45616 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA |