FDA Adverse Event Malfunction Summary report: N

2.1 RIO ROBOTIC ARM INT. ORTH. SYSTEM

MDR report key: 5188197 · Received October 29, 2015

Report

Report Number
3005985723-2015-00225
Event Type
Malfunction
Date Received
October 29, 2015
Date of Event
September 14, 2015
Report Date
September 14, 2015
Manufacturer
MAKO SURGICAL CORP.
Product Code
OLO
PMA / PMN Number
K112507
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

AS PART OF NORMAL COMPLAINT FOLLOW-UP, AN EVALUATION OF THE EVENT HAS BEEN INITIATED BY MAKO SURGICAL. A SUPPLEMENTAL REPORT WILL BE SUBMITTED WHEN ADDITIONAL INFORMATION BECOMES AVAILABLE.

Additional Manufacturer Narrative · 1

REPORTED EVENT: THE REPORTED DEVICE WAS CONFIRMED TO BE A RIO ROBOTIC ARM, P/N 203999, SERIAL NUMBER (B)(4). DEVICE EVALUATION AND RESULTS: ACCORDING TO GSP CASE 124026, THE FSE FOUND THAT THE FUSE ON THE ANSPACH FILTER ASSEMBLY WAS BLOWN AND THAT THE ANSPACH CONTROLLER WAS INOPERATIVE. DEVICE HISTORY REVIEW: REVIEW OF THE DEVICE HISTORY RECORDS INDICATE ROB123 WAS MANUFACTURED AND ACCEPTED INTO FINAL STOCK ON 12/9/2010. COMPLAINT HISTORY REVIEW: A REVIEW OF COMPLAINTS RELATED TO P/N 203999, LOT NUMBER ROB123 SHOWS NO OTHER COMPLAINTS RELATED TO THE FAILURE IN THIS INVESTIGATION. TRACKING OF COMPLAINTS RELATED TO THE 203999 PART NUMBER WILL BE TRACKED THROUGH QUARTERLY TREND REQUEST #761. CONCLUSIONS: THE FAILURE WAS CONFIRMED DURING THE FIELD SERVICE. CORRECTIVE ACTION/PREVENTIVE ACTION: NO ACTION IS REQUIRED AT THIS TIME AS THERE IS NO INDICATION TO SUGGEST A PRODUCT NON-CONFORMITY OR UNANTICIPATED HAZARD.

Description of Event or Problem · 1

A SURGEON WAS PERFORMING A PARTIAL KNEE ARTHROPLASTY PROCEDURE USING THE ROBOTIC ARM INTERACTIVE ORTHOPEDIC SYSTEM (RIO) . DURING THE CASE, THE RIO WAS DISPLAYING ERROR MESSAGES. THE MAKOPLASTY SPECIALIST CONDUCTED TROUBLESHOOTING ACTIVITIES AND THERE WAS A CASE DELAY OF APPROXIMATELY 15 MINUTES DUE TO THE TROUBLESHOOTING. ANOTHER ROBOTIC ARM INTERACTIVE ORTHOPEDIC SYSTEM (RIO) WAS BROUGHT IN TO SUCCESSFULLY FINISH THE PROCEDURE. THERE WAS NO HARM TO THE PATIENT.

Description of Event or Problem · 1

A SURGEON WAS PERFORMING A PARTIAL KNEE ARTHROPLASTY PROCEDURE USING THE ROBOTIC ARM INTERACTIVE ORTHOPEDIC SYSTEM (RIO) . DURING THE CASE, THE RIO WAS DISPLAYING ERROR MESSAGES. THE MAKOPLASTY SPECIALIST CONDUCTED TROUBLESHOOTING ACTIVITIES AND THERE WAS A CASE DELAY OF APPROXIMATELY 15 MINUTES DUE TO THE TROUBLESHOOTING. ANOTHER ROBOTIC ARM INTERACTIVE ORTHOPEDIC SYSTEM (RIO) WAS BROUGHT IN TO SUCCESSFULLY FINISH THE PROCEDURE. THERE WAS NO HARM TO THE PATIENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
718506 2.1 RIO ROBOTIC ARM INT. ORTH. SYSTEM STEREOTACTIC DEVICE OLO MAKO SURGICAL CORP.

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention