FDA Adverse Event Malfunction Summary report: N

ROSA ONE

MDR report key: 8073064 · Received November 15, 2018

Report

Report Number
3009185973-2018-00306
Event Type
Malfunction
Date Received
November 15, 2018
Date of Event
February 8, 2018
Report Date
November 16, 2018
Manufacturer
MEDTECH SA
Product Code
OLO
PMA / PMN Number
N/A
Removal / Correction Number
N/A
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 0

EVENT SUMMARY, DEVICE HISTORY RECORD REVIEW AND COMPLAINT HISTORY REVIEW DID NOT IDENTIFY CONTRIBUTING FACTORS. TECHNICAL INVESTIGATION CONFIRMED THAT THE USER TRIED SIX TIMES TO PERFORM A 3D-REGISTRATION, BUT THE FIVE FIRST ATTEMPTS FAILED. AT THE SIXTH ATTEMPT THE BOUNDING BOX WAS REDEFINED PROPERLY BY THE USER WHICH ENABLED A CORRECT DETECTION OF MARKERS AND THE CALCULATION WAS SUCCESSFUL. THE DEVICE WORKED AS INTENDED, THE EVENT IS DUE TO USER ERROR IN THE DEFINITION OF THE BOUNDING BOX. THE SURGEON IS TRAINED TO THE USE OF THE ROSA ONE DEVICE AND IS CONSIDERED AS EXPERIENCED.

Description of Event or Problem · 0

IT WAS REPORTED THAT THERE WERE 3D-REGISTRATION FAILURES DURING A SURGERY. THE REGISTRATION STEPS WERE REPEATED UNTIL ISSUE WAS RESOLVED.

Additional Manufacturer Narrative · 1

THE DEVICE HAS NOT BEEN EVALUATED YET FOR INVESTIGATION PURPOSE. ONCE THE EVALUATION IS PERFORMED, A FOLLOW-UP MEDWATCH REPORT WILL BE SUBMITTED. THE DEVICE MODEL ROSA ONE IS NOT FDA CLEARED BUT IS SIMILAR TO THE DEVICE ROSA BRAIN, CLASSIFIED HAW AND CLEARED UNDER K172444.

Description of Event or Problem · 1

IT WAS REPORTED THAT THERE WERE 3D-REGISTRATION FAILURES DURING A SURGERY. THE REGISTRATION STEPS WERE REPEATED UNTIL ISSUE WAS RESOLVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
915261 ROSA ONE COMPUTER-ASSISTED SURGICAL DEVICE OLO MEDTECH SA ROSA ONE 3.1.0.2

Patients

Seq Age Sex Outcome Treatment
1