FDA Adverse Event Injury Summary report: N

3.0 RIO® ROBOTIC ARM - MICS

MDR report key: 8757383 · Received July 3, 2019

Report

Report Number
3005985723-2019-00480
Event Type
Injury
Date Received
July 3, 2019
Date of Event
June 11, 2019
Report Date
November 26, 2019
Manufacturer
MAKO SURGICAL CORP.
Product Code
OLO
UDI-DI
00848486030407
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 0

AN EVENT REGARDING CRACK/FRACTURE INVOLVING 3.0 RIO ROBOTIC ARM - MICS, CATALOG: 209999 WAS REPORTED. METHOD & RESULTS: DEVICE HISTORY REVIEW: A REVIEW OF THE DHR ASSOCIATED WITH RIO 084 FOUND QUALITY INSPECTION PROCEDURES SUCCESSFULLY PASSED. COMPLAINT HISTORY: A SEARCH OF THE COMPLAINT DATABASE UNDER DEVICE IDENTIFICATION PN (B)(4) REPORTS NO SIMILAR COMPLAINTS FOR THA SOFTWARE - CRACK/FRACTURE. CONCLUSION: NOT PERFORMED AS CASE SESSION DATA WAS NOT PROVIDED. H3 OTHER TEXT : DEVICE NOT RETURNED

Description of Event or Problem · 0

THIS PI IS FOR THE ROBOT USED IN THE PRIMARY RIGHT HIP PROCEDURE. IT WAS REPORTED THAT THE PATIENT SUFFERED BILATERAL FEMORAL FRACTURES 6 DAYS AFTER HAVING A BILATERAL HIP REPLACEMENT. THE ANATO STEMS AND BIOLOX HEADS WERE REVISED TO RESTORATION MODULAR STEM CONSTRUCTS AND BIOLOX HEADS.

Additional Manufacturer Narrative · 1

AS PART OF NORMAL COMPLAINT FOLLOW-UP, AN EVALUATION OF THE EVENT HAS BEEN INITIATED BY MAKO SURGICAL. A SUPPLEMENTAL REPORT WILL BE SUBMITTED WHEN ADDITIONAL INFORMATION BECOMES AVAILABLE.

Description of Event or Problem · 1

THIS PI IS FOR THE ROBOT USED IN THE PRIMARY RIGHT HIP PROCEDURE. IT WAS REPORTED THAT THE PATIENT SUFFERED BILATERAL FEMORAL FRACTURES 6 DAYS AFTER HAVING A BILATERAL HIP REPLACEMENT. THE ANATO STEMS AND BIOLOX HEADS WERE REVISED TO RESTORATION MODULAR STEM CONSTRUCTS AND BIOLOX HEADS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
550697 3.0 RIO® ROBOTIC ARM - MICS STEREOTAXIC DEVICE, ROBOTICS OLO MAKO SURGICAL CORP. 00848486030407

Patients

Seq Age Sex Outcome Treatment
1 69 YR Other