FDA Adverse Event Malfunction Summary report: N

3.0 RIO® ROBOTIC ARM - MICS

MDR report key: 6241363 · Received January 11, 2017

Report

Report Number
3005985723-2017-00012
Event Type
Malfunction
Date Received
January 11, 2017
Date of Event
December 12, 2016
Report Date
February 13, 2017
Manufacturer
MAKO SURGICAL CORP.
Product Code
OLO
PMA / PMN Number
K143752
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

FOLLOW-UP #1 AND FINAL REPORT SUBMITTED TO UPDATE MFR SITE INFO, DATE RECEIVED BY MFR, TYPE OF REPORTS, IF FOLLOW-UP, WHAT TYPE?, DEVICE EVALUATED BY MFR?, EVALUATION CODES, ADDITIONAL MFR NARRATIVE BASED ON THE RESULTS OF INVESTIGATION. REPORTED EVENT: THE REPORTED DEVICE IS A 3.0 RIO ROBOTIC ARM - MICS, CATALOG: 209999, SERIAL #: (B)(4). MPS REPORTED COMMUNICATION ERROR. DEVICE HISTORY: A REVIEW OF THE DHR ASSOCIATED WITH RIO 462 FOUND THE PT REVIEW SUCCESSFULLY PASSED. DEVICE INVESTIGATION: PER GSP:140541. FSE WAS ABLE TO REPRODUCE COMMUNICATION ERROR. GUIDANCE ETHERNET CONVERTER WAS REPLACED. SYSTEM WAS ABLE TO ESTABLISH A CONNECTION AND ALL VALIDATION TESTS PASSED. SYSTEM IS READY FOR CLINICAL USE. COMPLAINT HISTORY: BASED ON THE DEVICE IDENTIFICATION (PN 209999) THE COMPLAINT DATABASES WERE REVIEWED FROM 2011 TO PRESENT FOR SIMILAR REPORTED EVENTS REGARDING ROB462 GETTING A COMMUNICATION ERROR. THERE WERE NO OTHER SIMILAR REPORTED EVENT FOR THE REFERENCED SERIAL NUMBER. CONCLUSION: MPS REPORTED A COMMUNICATION ERROR. FSE UPON INSPECTION REPRODUCED COMMUNICATION ERROR AND REPLACED THE ETHERNET CONVERTER. COMMUNICATION WAS RE-ESTABLISHED AND SYSTEM PASSED ALL VERIFICATION CHECKS. SYSTEM IS READY FOR CLINICAL USE. FURTHER ACTION: NONE AT THIS TIME.

Description of Event or Problem · 1

THE SURGEON WAS COMPLETING A TOTAL KNEE ARTHROPLASTY PROCEDURE USING THE ROBOTIC ARM INTERACTIVE ORTHOPEDIC SYSTEM (RIO) WHEN A COMMUNICATION ERROR OCCURRED. THE SURGEON DID NOT WAIT FOR THE ISSUE TO BE RESOLVED. THE SURGEON PROCEEDED WITH THE CASE MANUALLY.

Description of Event or Problem · 1

THE SURGEON WAS COMPLETING A TOTAL KNEE ARTHROPLASTY PROCEDURE USING THE ROBOTIC ARM INTERACTIVE ORTHOPEDIC SYSTEM (RIO) WHEN A COMMUNICATION ERROR OCCURRED. THE SURGEON DID NOT WAIT FOR THE ISSUE TO BE RESOLVED. THE SURGEON PROCEEDED WITH THE CASE MANUALLY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
24230 3.0 RIO® ROBOTIC ARM - MICS STEREOTACTIC DEVICE, ROBOTICS OLO MAKO SURGICAL CORP.

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization