FDA Adverse Event Malfunction Summary report: N

RESTORIS MULTICOMPARTMENTAL KNEE PROSTHESIS

MDR report key: 4268013 · Received November 12, 2014

Report

Report Number
3005985723-2014-00189
Event Type
Malfunction
Date Received
November 12, 2014
Date of Event
October 16, 2014
Report Date
October 16, 2014
Manufacturer
MAKO SURGICAL
Product Code
KRR
PMA / PMN Number
K090763
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
RI, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

AS PART OF NORMAL COMPLAINT FOLLOW-UP, AN EVALUATION OF THE EVENT WAS COMPLETED AT MAKO SURGICAL. A SUPPLEMENTAL REPORT WILL BE FILED WHEN ADDITIONAL INFORMATION IS OBTAINED.

Description of Event or Problem · 1

THE SURGEON WAS PERFORMING A PARTIAL KNEE ARTHROPLASTY PROCEDURE USING THE ROBOTIC ARM INTERACTIVE ORTHOPEDIC SYSTEM (RIO) AND RESTORIS MULTICOMPARTMENTAL KNEE (MCK) IMPLANTS. PRIOR TO IMPLANTING THE TIBIAL BASEPLATE, THE SURGEON NOTICED THERE WAS RESIDUE ON THE TOP SURFACE OF THE IMPLANT. THE IMPLANT WAS NOT USED AND A NEW IMPLANT WAS USED. THIS EVENT DID NOT AFFECT THE OUTCOME OF THE CASE WHICH WAS SUCCESSFUL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
728543 RESTORIS MULTICOMPARTMENTAL KNEE PROSTHESIS COMPARTMENTAL KNEE PROSTHESIS KRR MAKO SURGICAL 180602 26130214-01

Patients

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