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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: MAKO SURGICAL CORP. CREST DRILL GUIDE; ORTHOPEDIC STEREOTAXIC INSTRUMENT

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MAKO SURGICAL CORP. CREST DRILL GUIDE; ORTHOPEDIC STEREOTAXIC INSTRUMENT Back to Search Results
Catalog Number 700000357480
Medical Device Problem Codes Material Fragmentation (1261); Naturally Worn (2988)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 08/06/2025
Type of Reportable Event Malfunction
Event or Problem Description
Barrel driver- shedding metal.Case type / application: tha 4.1.
 
Additional Manufacturer Narrative
An event regarding wear involving a mako clamp array/assembly was reported.The event was not confirmed because the product was not available for inspection.Method & results: product evaluation and results: material analysis, visual, functional and dimensional inspections could not be performed as the device was not returned.Clinician review: no medical records were received for review with a clinical consultant.Product history review: review of the device history records indicate devices were manufactured and accepted into final stock with no relevant reported discrepancies.Complaint history review: there have been no other complaints with similar event(s) for the lot referenced.Conclusions: the alleged failure mode was not confirmed because the product was not available for inspection.No additional investigation or specific actions are required.If additional information is received then the complaint will be reopened.
 
Event or Problem Description
No new information.
 
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Brand Name
CREST DRILL GUIDE
Common Device Name
ORTHOPEDIC STEREOTAXIC INSTRUMENT
Manufacturer (Section D)
MAKO SURGICAL CORP.
3365 enterprise ave
weston FL 33331
Manufacturer (Section G)
MAKO SURGICAL CORP.
3365 enterprise ave
weston FL 33331
Manufacturer Contact
deepan raju srinivasan
325 corporate drive
mahwah, NJ 07430
2018315000
MDR Report Key22923110
Report Number3005985723-2025-00404
Device Sequence Number18739366
Product Code OLO
UDI-Device Identifier07613327468311
UDI-Public07613327468311
Combination Product (Y/N)N
Initial Reporter StateOH
Initial Reporter CountryUS
PMA/510(K) Number
K193128
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Company Representative
Initial Reporter Occupation Other
Type of Report Initial,Followup
Report Date (Section B) 11/26/2025
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Operator of Device Health Professional
Device Catalogue Number700000357480
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Type of Report(Section G)Follow-Up
Initial Date Received by Manufacturer 08/06/2025
Supplement Date Received by Manufacturer10/31/2025
Initial Report FDA Received Date08/29/2025
Supplement Report FDA Received Date11/26/2025
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured09/08/2020
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Patient SexUnknown
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