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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: MAKO SURGICAL CORP. HANDPIECE MICS; STEREOTAXIC DEVICE, ROBOTICS

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MAKO SURGICAL CORP. HANDPIECE MICS; STEREOTAXIC DEVICE, ROBOTICS Back to Search Results
Model Number 209063
Device Problems Loss of Power (1475); Electrical Power Problem (2925); Mechanical Jam (2983)
Patient Problems No Consequences Or Impact To Patient (2199); No Known Impact Or Consequence To Patient (2692)
Event Date 08/27/2019
Event Type  malfunction  
Manufacturer Narrative
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.
 
Event Description
Intraop op rio set up & registered the robot (identified that mics connection was successful.Upon entering bone cuts, no power to mics.Attempted to reset cutter & wait 10 seconds with no avail.Exit page & re-entered with no avail.Disconnected & reconnected the mics with no avail.Did mics status check & failed with no power.Shutdown robot on module & rehomed as well as arm status reboot, then mics status again with no avail.Changed mics.Attempted mics status check & failed.Contacted team mates & fse, proceed to then complete a hard shutdown waiting 2 mins robot, attempted mics status check & failed.Surgeon proceeded to manual right tka utilizing as much information attained for bone resection amounts from ligament balancing.Surgeon informed patient case was not completed robotically.Surgical delay of 20 minutes.Case type: tka.
 
Manufacturer Narrative
Intraop op rio set up & registered the robot (identified that mics connection was successful.Upon entering bone cuts, no power to mics.Attempted to reset cutter & wait 10seconds with no avail.Exit page & re-entered with no avail.Disconnected & reconnected the mics with no avail.Did mics status check & failed with no power.Shutdown robot on module & rehomed as well as arm status reboot, then mics status again with no avail.Changed mics.Attempted mics status check & failed.Contacted team mates & fse, proceed to then complete a hard shutdown waiting 2mins robot, attempted mics status check & failed.Surgeon proceeded to manual right tka utilizing as much information attained for bone resection amounts from ligament balancing.Surgeon informed patient case was not completed robotically.Product inspection: as per service maxwo-02133974 & case number (b)(4).Mics-209063, sn#: (b)(6), lot#42040517, rma#282213.Inspected per d06917 and determined failure of the following test step.Sec# 7.1.3.Failed pivot lock handle test.Disposition: rtv.Inspected by: (b)(4).The alleged failure was not confirmed.Device history review: review of the device history records indicate (b)(4) devices were manufactured under lot k09q7 and (b)(4) devices were accepted into final stock on 06-21-2017.A review of qt17-06-0068 revealed that the issue is not related to the failure alleged in this compliant.Complaint history review: a review of complaints in catsweb and trackwise related to p/n 209063, lot number 42040517 shows 8 additional complaints related to the failure in this investigation.Conclusion the alleged failure was not confirmed.No additional investigation or specific actions are required.If additional information is received then the complaint will be reopened.
 
Event Description
Intraop op rio set up & registered the robot (identified that mics connection was successful.Upon entering bone cuts, no power to mics.Attempted to reset cutter & wait 10seconds with no avail.Exit page & re-entered with no avail.Disconnected & reconnected the mics with no avail.Did mics status check & failed with no power.Shutdown robot on module & rehomed as well as arm status reboot, then mics status again with no avail.Changed mics.Attempted mics status check & failed.Contacted team mates & fse, proceed to then complete a hard shutdown waiting 2mins robot, attempted mics status check & failed.Surgeon proceeded to manual right tka utilizing as much information attained for bone resection amounts from ligament balancing.Surgeon informed patient case was not completed robotically.Surgical delay of 20 minutes case type: tka.
 
Manufacturer Narrative
When this decision was accessed it was done so through a different criteria.Upon further investigation the conclusion, per our risk documentation, has been updated and the below is the no report rationale.We have revaluated the reportability of this event and have established that this reported hazardous situation has not resulted in any patient harms associated with an s3,03 or higher.A review of the for total knee arthroplasty mako system a0017400.For system experiences unrecoverable malfunction indicates that the highest potential severity of harm is s2 with a potential occurrence level o3.Additionally, a review of the complaint history data for the past 4 years indicated there have been no reports of serious injury or death as a result of similar events with this device family.Based upon this review, it is unlikely that a serious injury or death would result if this event were to recur.Therefore, this event is not reportable.
 
Event Description
Intraop op rio set up & registered the robot (identified that mics connection was successful.Upon entering bone cuts, no power to mics.Attempted to reset cutter & wait 10seconds with no avail.Exit page & re-entered with no avail.Disconnected & reconnected the mics with no avail.Did mics status check & failed with no power.Shutdown robot on module & rehomed as well as arm status reboot, then mics status again with no avail.Changed mics.Attempted mics status check & failed.Contacted team mates & fse, proceed to then complete a hard shutdown waiting 2mins robot, attempted mics status check & failed.Surgeon proceeded to manual right tka utilizing as much information attained for bone resection amounts from ligament balancing.Surgeon informed patient case was not completed robotically.Surgical delay of 20 minutes case type: tka.
 
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Brand Name
HANDPIECE MICS
Type of Device
STEREOTAXIC DEVICE, ROBOTICS
Manufacturer (Section D)
MAKO SURGICAL CORP.
2555 davie road
fort lauderdale FL 33317
MDR Report Key8955795
MDR Text Key156346367
Report Number3005985723-2019-00638
Device Sequence Number1
Product Code OLO
UDI-Device Identifier00848486030193
UDI-Public00848486030193
Combination Product (y/n)N
PMA/PMN Number
K142530
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative
Type of Report Initial,Followup,Followup
Report Date 04/14/2020
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received09/03/2019
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model Number209063
Device Catalogue Number209063
Device Lot NumberLOT: 42051116 SN: 4201429
Was Device Available for Evaluation? No
Date Manufacturer Received04/14/2020
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
Patient Outcome(s) Hospitalization;
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