Section h3, h6: the real intelligence cori, part number rob10024, serial number (b)(6) used for treatment was not returned for evaluation.A relationship between the reported event and the device could not be established.The clinical/medical investigation concluded that the crfs document the ae(#1) as severe and anticipated, definitely related to the procedure but unrelated to the system/instrumentation with an aware date of (b)(6) 2022 (6 weeks follow up) with leg alignment/standing long leg x-ray report of 5 degree varus and patient is ¿:recovering /resolving¿.Although the root cause of the reported event cannot be determined based on the crfs provided, arthrofibrosis is a known post-surgical occurrence and it cannot be concluded that there is any malperformance of the implants.The patient impact beyond the reported limited rom/arthrofibrosis (ae#1) and subsequent mua cannot be determined.No further medical assessment can be rendered at this time.A complaint history review for similar reported/confirmed complaints has identified prior events.A review of manufacturing records indicate the device met all specifications upon release into distribution.Cori is a surgical tool designed to provide assistance to the surgeon; it is not a substitute for the surgeon¿s experience and skill.The surgeon is responsible for implant planning and the conduct of the surgery during which cori is being used.The failure mode and associated risk have been anticipated within the risk file.The risk level is still adequate.No reasonable contributing factors could be identified based on the received complaint information and investigation results.Based on the investigation, the need for a corrective action is not recommended or required at this time.Should any additional information be received the complaint will be reopened.The failure mode will continue to be closely monitored through complaint investigation and trended through post market surveillance activities.H6: health effect - impact cod.
|
H3, h6: the real intelligence cori, part number rob10024, (b)(6), intended for use in treatment was returned for evaluation.A relationship between the reported event and the device could not be established.Nothing was identified visually that contributed to the reported problem.A functional evaluation was performed, and the reported problem was not confirmed, the cori console functioned as intended.A kpc test, case, and calibration were all completed without error.The software files were downloaded from the device and provided for investigation.The log files do not indicate any system or software issue related to the reported complaint.The screenshots were reviewed with clinical account representatives and the reported complaint could not be confirmed.No definitive conclusions could be drawn from the plan, as there did not appear to be any abnormalities.Although the reported problem was not confirmed through a visual or functional evaluation, it was noted that the surgeon could have planned for a looser gap when the knee was in extension and could be a possible contributing factor in the reported arthrofibrosis.A review of manufacturing and service records indicate the device met all specifications upon release into distribution.A complaint history review for similar reported/confirmed complaints found similar events.A historical escalation event review was completed.A review of prior escalation actions found no actions applicable to the scope of the reported complaint.As with any surgical procedure, there is risk involved.Potential complications accompanying surgery may occur, including: allergic reaction (anaphylactic and minor), infection, mild to serious physical injury, localized static shock, delay in the operation, surgical site nerve injury, vascular injuries of the lower extremity, soft tissue damage, major bone gouging at the surgical site, bone fracture, immature implant failure, unstable knee joint, limited or restricted knee range of motion, major blunt impact injury, unintended laceration/puncture wound, and osteonecrosis.Cori is a surgical tool designed to provide assistance to the surgeon; it is not a substitute for the surgeon¿s experience and skill.The surgeon is responsible for implant planning and the conduct of the surgery during which cori is being used.The risk review could not be completed as insufficient information was provided that relates the specific failure mode to the device.Per complaint details, a manipulation under anesthesia (mua) was required due to the onset of a serious adverse event (ae#1) left knee arthrofibrosis within 2 months post discharge of the cori-assisted left tka with patella resurfacing.Reportedly, the patient had a range of motion of 80-degrees and it was not improving with therapy.The crfs document the ae(#1) as severe and anticipated, definitely related to the procedure but unrelated to the system/instrumentation with an aware date of 06-may-2022 (6 weeks follow up) with leg alignment/standing long leg x-ray report of 5 degree varus and patient is ¿:recovering /resolving¿.Although the root cause of the reported event cannot be determined based on the crfs provided, arthrofibrosis is a known post-surgical occurrence and it cannot be concluded that there is any malperformance of the implants.The patient impact beyond the reported limited rom/arthrofibrosis (ae#1) and subsequent mua cannot be determined.No further medical assessment can be rendered at this time.Although no further containment or corrective action is recommended or required at this time, all complaints are monitored through complaint investigation and post market surveillance activities.
|