ROSA ONE
Report
- Report Number
- 3009185973-2018-00241
- Event Type
- Malfunction
- Date Received
- September 6, 2018
- Date of Event
- September 5, 2018
- Report Date
- December 3, 2018
- Manufacturer
- MEDTECH SA
- Product Code
- HAW
- PMA / PMN Number
- PN/A
- Removal / Correction Number
- N/A
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GM
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
(B)(4). IT WAS REPORTED THAT IT WAS IMPOSSIBLE TO LOAD PATIENT FOLDER DURING A SURGERY AND THAT FOR A TRAJECTORY THE DEVICE WAS ONLY ABLE TO REACH THE ENTRY POINT WITH A LENGTH OF 138 MM INSTEAD OF THE STANDARD 200 MM. DHR REVIEW AND REVIEW OF COMPLAINT HISTORY DID NOT IDENTIFY ANY CONTRIBUTORY FACTORS TO THE EVENT. ACCORDING TO TECHNICAL INVESTIGATION, THE EVENT WITH THE PATIENT FOLDER COULD NOT BE REPRODUCED BUT IS CONFIRMED AS A FIELD SERVICE ENGINEER WAS PRESENT DURING THE SURGERY. ALSO, IT IS NORMAL BEHAVIOR FROM THE DEVICE TO ADJUST THE LENGTH OF THE TRAJECTORY DEPENDING ON THE POINT THAT NEED TO BE REACHED. NO FAILURE OF THE DEVICE CAN BE CONFIRMED FOR THIS EVENT.
A MEDTECH FIELD SERVICE ENGINEER (FSE) ASSISTED THE SURGEON TO TRY TO IMPORT THE PATIENT FOLDER FROM A USB. THE SOFTWARE DISPLAYED AN ERROR MESSAGE. THE IMPORT NOT SUCCESSFUL. THE FSE TRIED AGAIN TO IMPORT AND THE ROSANNA SOFTWARE ASKED TO OVERWRITE THE PATIENT FOLDER. THE FSE SELECTED YES AND THE IMPORT WAS AGAIN NOT SUCCESSFUL. TO RESOLVE THE ISSUE, THE FSE LOADED THE IMPORTED PATIENT FOLDER FROM THE ROBOT DIRECTLY AND THIS WAS SUCCESSFUL. THE SURGEON CHECKED AGAIN THE TRAJECTORY AND EVERYTHING WAS SATISFACTORY.
THE DEVICE MODEL ROSA ONE IS NOT FDA CLEARED BUT IS SIMILAR TO THE DEVICE ROSA BRAIN 3.0, CLASSIFIED HAW AND CLEARED UNDER K172444. THE DEVICE HAS NOT BEEN EVALUATED YET FOR INVESTIGATION PURPOSE. ONCE THE EVALUATION WILL BE PERFORMED, A FOLLOW-UP MEDWATCH REPORT WILL BE SUBMITTED.
A MEDTECH FIELD SERVICE ENGINEER (FSE) ASSISTED THE SURGEON TO TRY TO IMPORT THE PATIENT FOLDER FROM A USB. THE SOFTWARE DISPLAYED AN ERROR MESSAGE. THE IMPORT NOT SUCCESSFUL. THE FSE TRIED AGAIN TO IMPORT AND THE ROSANNA SOFTWARE ASKED TO OVERWRITE THE PATIENT FOLDER. THE FSE SELECTED YES AND THE IMPORT WAS AGAIN NOT SUCCESSFUL. TO RESOLVE THE ISSUE, THE FSE LOADED THE IMPORTED PATIENT FOLDER FROM THE ROBOT DIRECTLY AND THIS WAS SUCCESSFUL. THE SURGEON CHECKED AGAIN THE TRAJECTORY AND EVERYTHING WAS SATISFACTORY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 694923 | ROSA ONE | COMPUTER-ASSISTED SURGICAL DEVICE | HAW | MEDTECH SA | ROSA ONE 3.1 | 3.1.0.1276 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |