FDA Adverse Event Injury Summary report: N

RESTORIS PST TOTAL HIP SYSTEM

MDR report key: 3760803 · Received April 3, 2014

Report

Report Number
3005985723-2014-00034
Event Type
Injury
Date Received
April 3, 2014
Date of Event
February 21, 2014
Report Date
March 4, 2014
Manufacturer
MAKO SURGICAL CORP.
Product Code
OQG
PMA / PMN Number
K112802
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

AS PART OF NORMAL COMPLAINT FOLLOW-UP, AN EVAL OF THE EVENT HAS BEEN CONDUCTED BY MAKO SURGICAL. FOUR POSSIBLE CAUSES TO THIS ISSUE HAVE BEEN IDENTIFIED: UNINTENTIONAL ARRAY MOVEMENT (BETWEEN BONE REGISTRATION AND REAMING/IMPACTION); POST-OPERATIVE MOVEMENT OF CUP; SUB-OPTIMAL PELVIC REGISTRATION; UNSTABLE POSITIONING OF RIO PLATFORM. AT THIS TIME, CURRENTLY AVAILABLE DATA ONLY SUPPORTS ARRAY MOVEMENT AS BEING THE ROOT CAUSE HOWEVER THE POSSIBILITY EXISTS THAT THE OTHER CAUSES MAY HAVE ALSO CONTRIBUTED TO THIS ISSUE.

Description of Event or Problem · 1

A PATIENT HAD RECEIVED A TOTAL HIP ARTHROPLASTY, WHICH WAS PERFORMED USING THE ROBOTIC ARM INTERACTIVE ORTHOPEDIC SYSTEM (RIO) AND RESTORIS PST TOTAL HIP IMPLANTS. THE ORIGINAL SURGICAL PLAN HAD CUP AT 41 DEGREES INCLINATION. THE IMPACTION NUMBERS ON THE RIO WERE THE SAME AS THE SURGICAL PLAN. THE SURGEON EVALUATED THE CUP PLACEMENT IN THE POST-OPERATIVE X-RAY AND MEASURED A VALUE OF 63 DEGREES INCLINATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
200661 RESTORIS PST TOTAL HIP SYSTEM ARTIFICIAL TOTAL HIP REPLACEMENT OQG MAKO SURGICAL CORP.

Patients

Seq Age Sex Outcome Treatment
1 65 YR Other ROBOTIC ARM INTERACTIVE ORTHOPEDIC SYSTEM (RIO)