FDA Adverse Event Malfunction Summary report: N

ROSA ONE

MDR report key: 8188645 · Received December 21, 2018

Report

Report Number
3009185973-2018-00364
Event Type
Malfunction
Date Received
December 21, 2018
Date of Event
November 27, 2018
Report Date
February 27, 2019
Manufacturer
MEDTECH SA
Product Code
HAW
PMA / PMN Number
N/A
Removal / Correction Number
N/A
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
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. THE TECHNICAL INVESTIGATION CONFIRMED THAT TWO SYSTEM FREEZES OCCURRED, BOTH DUE TO A CRASH OF THE OPERATING SYSTEM.

Description of Event or Problem · 0

IT WAS REPORTED THAT THERE WERE TWO FREEZES DURING THE SURGERY. THE FIRST ONE OCCURRED WHILE THE USER SELECTED A DIFFERENT ANGLE. THE SECOND ONE OCCURRED WHILE THE USER ACTIVATED A MICRO-MOVEMENT. AFTER EACH FREEZE THE DEVICE WAS RESTARTED.

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. (B)(4).

Description of Event or Problem · 1

IT WAS REPORTED THAT THERE WERE TWO FREEZES DURING THE SURGERY. THE FIRST ONE OCCURRED WHILE THE USER SELECTED A DIFFERENT ANGLE. THE SECOND ONE OCCURRED WHILE THE USER ACTIVATED A MICROMOVEMENT. AFTER EACH FREEZE THE DEVICE WAS RESTARTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1028322 ROSA ONE COMPUTER-ASSISTED SURGICAL DEVICE HAW MEDTECH SA ROSA ONE 3.1.0.1276

Patients

Seq Age Sex Outcome Treatment
1