FDA Adverse Event Malfunction Summary report: N

3.0 RIO® ROBOTIC ARM - MICS

MDR report key: 9081359 · Received September 18, 2019

Report

Report Number
3005985723-2019-00682
Event Type
Malfunction
Date Received
September 18, 2019
Date of Event
August 30, 2019
Report Date
November 25, 2019
Manufacturer
MAKO SURGICAL CORP.
Product Code
OLO
UDI-DI
00848486030407
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

FOLLOW-UP #1 AND FINAL REPORT SUBMITTED TO UPDATE SECTIONS D.3, G.1, G.4, G.7, H.2, H.3, H.6, H.10 AND H.11 BASED ON THE RESULTS OF INVESTIGATION. MPS (B)(6) REPORTED HYDRAULIC FLUID LEAKING FROM THE ROBOT AND IT HAS BECOME NECESSARY TO USE THE WRENCH TO LIFT AND LOWER THE ROBOT. DEVICE EVALUATION AND RESULTS: PER WO-(B)(4): LOOSE FITTING ON HYDRAULIC JACK. TIGHTENED AND VERIFIED FITTING ON HYDRAULICS. ROBOT LIFTS UP WITH PEDAL AND NO LEAKING FLUID. REPLACED LOST HYDRAULIC FLUID. SYSTEM INVESTIGATION COMPLETED SUCCESSFULLY AS PER SERVICE MANUAL. ALL SYSTEM CHECKS AND TESTS PASSED. PRODUCT HISTORY REVIEW A REVIEW OF DEVICE HISTORY RECORDS SHOWS THAT ON 04/19/10 1 DEVICE WAS INSPECTED AND 1 DEVICE WAS PLACED ON: NPR 10- 03-0097, NPR 10-04-0053, NPR 10-04-0078, NPR 10-04-0074, NPR 10-04-0066, NPR 10-04-0049, NPR 10-03-0104. A REVIEW OF THE DATA REVEALED THAT THE NON-CONFORMANCES ARE NOT RELATED TO THE FAILURE ALLEGED IN THIS COMPLIANT. COMPLAINT HISTORY REVIEW A REVIEW OF COMPLAINTS IN CATSWEB AND TRACKWISE RELATED TO P/N 209999 SHOWS NO ADDITIONAL COMPLAINTS RELATED TO THE FAILURE IN THIS INVESTIGATION. CONCLUSIONS: SYSTEM READY FOR CLINICAL USE.

Description of Event or Problem · 0

CASE NUMBER: (B)(4) - MPS (B)(6) REPORTED HYDRAULIC FLUID LEAKING FROM THE ROBOT AND IT HAS BECOME NECESSARY TO USE THE WRENCH TO LIFT AND LOWER THE ROBOT. CASE TYPE: PKA. UPDATE: "THERE IS NO PATIENT INFORMATION TO GIVE OUT BECAUSE THE PATIENT WAS NOT AFFECTED. ISSUE WAS NOTICED AFTER BONE PREPARATION. "PATIENT WAS UNDER ANESTHESIA." THERE WAS NO SURGICAL DELAY. SURGERY WAS COMPLETED ROBOTICALLY.

Additional Manufacturer Narrative · 1

AS PART OF THE 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

CASE NUMBER: (B)(4), ROB095 - MPS (B)(6) REPORTED HYDRAULIC FLUID LEAKING FROM THE ROBOT AND IT HAS BECOME NECESSARY TO USE THE WRENCH TO LIFT AND LOWER THE ROBOT. CASE TYPE: PKA. UPDATE: "THERE IS NO PATIENT INFORMATION TO GIVE OUT BECAUSE THE PATIENT WAS NOT AFFECTED. ISSUE WAS NOTICED AFTER BONE PREPARATION. "PATIENT WAS UNDER ANESTHESIA." THERE WAS NO SURGICAL DELAY. SURGERY WAS COMPLETED ROBOTICALLY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
874595 3.0 RIO® ROBOTIC ARM - MICS STEREOTAXIC DEVICE, ROBOTICS OLO MAKO SURGICAL CORP. 00848486030407

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization