FDA Adverse Event Malfunction Summary report: N

3.0 RIO® ROBOTIC ARM - MICS

MDR report key: 9646680 · Received January 30, 2020

Report

Report Number
3005985723-2020-00062
Event Type
Malfunction
Date Received
January 30, 2020
Date of Event
January 7, 2020
Report Date
April 29, 2020
Manufacturer
MAKO SURGICAL CORP.
Product Code
OLO
UDI-DI
00848486030407
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

UPDATE TO B2. REPORTED EVENT: IT WAS REPORTED THAT CASE NUMBER: (B)(4). ROB942 - CLPS REPORTED SPARKING/ARCING NOISE AND BURNING SMELL COMING FROM ROBOT WHEN TURNING ON CASE WAS COMPLETED MANUALLY. PRODUCT EVALUATION AND RESULTS: AS PER WO-02294322, COMPLETED DATE 1/10/2020: THE UPS WAS REPLACED. SYSTEM INVESTIGATION COMPLETED SUCCESSFULLY AS PER SERVICE MANUAL. ALL SYSTEM CHECKS AND TESTS PASSED, SYSTEM IS READY FOR USE. PRODUCT HISTORY REVIEW: REVIEW OF THE DEVICE HISTORY RECORDS INDICATE 1 DEVICE WAS MANUFACTURED AND ACCEPTED ON 06/14/2019 AFTER BEING HANDLED VIA QT 19-06-0039. THE NON CONFORMANCE IS UNRELATED TO THE FAILURE ALLEGED IN THE INVESTIGATION. COMPLAINT HISTORY REVIEW: A REVIEW OF COMPLAINTS IN CATSWEB AND TRACKWISE RELATED TO P/N 202456, ROB942 SHOWS 0 ADDITIONAL COMPLAINTS RELATED TO THE FAILURE IN THIS INVESTIGATION. CONCLUSION: PER D03391, PREVENTIVE MAINTENANCE IS WHERE AN ACTION OCCURS THAT IDENTIFIES DEVICE DETERIORATION WHICH MAY COMPROMISE FUNCTION. UNDER PM CONDITIONS NO PATIENT WAS INVOLVED AND NO ACTUAL OR POTENTIAL PATIENT HARM EXISTED FOR THE ALLEGED EVENT. THE FAILURE IS CONFIRMED VIA INSPECTION. NO ADDITIONAL INVESTIGATION OR SPECIFIC ACTIONS ARE REQUIRED. IF ADDITIONAL INFORMATION IS RECEIVED THEN THE COMPLAINT WILL BE REOPENED. CORRECTIVE ACTION/PREVENTIVE ACTION: A REVIEW OF STRYKER¿S NC/CAPA DATABASE INDICATED THERE HAVE BEEN NO NC AND CAPA ASSOCIATED WITH THE PRODUCT AND FAILURE MODE REPORTED IN THIS EVENT.

Description of Event or Problem · 0

CASE NUMBER: (B)(4). ROB942 - CLPS JAMES INGLE REPORTED SPARKING/ARCING NOISE AND BURNING SMELL COMING FROM ROBOT WHEN TURNING ON. CASE WAS COMPLETED MANUALLY.

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

CASE NUMBER: (B)(4). (B)(4) - CLPS (B)(6) REPORTED SPARKING/ARCING NOISE AND BURNING SMELL COMING FROM ROBOT WHEN TURNING ON. CASE WAS COMPLETED MANUALLY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
110747 3.0 RIO® ROBOTIC ARM - MICS STEREOTAXIC DEVICE, ROBOTICS OLO MAKO SURGICAL CORP. 209999 00848486030407

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization| O