FDA Adverse Event
Malfunction
Summary report: N
ROSA SURGICAL DEVICE
MDR report key: 6476333
·
Received April 10, 2017
Report
- Report Number
- 3009185973-2017-00330
- Event Type
- Malfunction
- Date Received
- April 10, 2017
- Date of Event
- November 23, 2016
- Report Date
- April 10, 2017
- Manufacturer
- MEDTECH SA
- Product Code
- HAW
- PMA / PMN Number
- K101791
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PW, US
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Narratives
Additional Manufacturer Narrative · 1
THE DEVICE RO 15 044 HAS BEEN INSPECTED FOR INVESTIGATION PURPOSE. THE ANALYSIS PERFORMED CONFIRMED THAT PC CONFIGURATION ISSUE CAUSED THE OBSERVED ISSUE. THE INTERNAL COMPLAINT REFERENCE IS THE FOLLOWING: (B)(4).
Description of Event or Problem · 1
DURING AN INTERVENTION PERFORMED BY OUF FIELD ENGINEER, IT WAS IDENTIFIED THAT A SOFTWARE FAILURE HAS BEEN DETECTED. SYSTEM SHUTDOWN AND THEN HAS BEEN RESTARTED. ERROR OCCURS IN BOTH ROSA USER PROFILE AND MAINTENANCE PROFILE. IT WAS ALSO REPORTED THAT THE ROSANNA SOFTWARE COULD NOT BE OPENED. THERE WAS NO PATIENT INVOLVEMENT REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 257118 | ROSA SURGICAL DEVICE | COMPUTER-ASSISTED SURGICAL DEVICE | HAW | MEDTECH SA | ROSA 2.5.8 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |