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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BLUE BELT TECHNOLOGIES REAL INTELLIGENCE CORI; ORTHOPEDIC STEREOTAXIC INSTRUMENT

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BLUE BELT TECHNOLOGIES REAL INTELLIGENCE CORI; ORTHOPEDIC STEREOTAXIC INSTRUMENT Back to Search Results
Catalog Number ROB10024
Medical Device Problem Codes Erratic or Intermittent Display (1182); Connection Problem (2900)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 01/08/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Internal complaint reference: (b)(4).
 
Event or Problem Description
It was reported that, during a real intelligence cori assisted tka surgery, during the femur bone removal, the cori screen went black for few seconds, after return of the screen an error message appeared on screen about drill deactivated.After 3 unsuccessful attempts to reinitialize the drill, another back up drill have been used with the same result.The procedure was resumed, after a non-significant delay, with manual procedure.No further complications were reported.
 
Additional Manufacturer Narrative
H3, h6: the real intelligence cori, part number rob10024, serial number (b)(6), intended for treatment was returned for evaluation.The reported problem could not be confirmed with a visual inspection.Nothing was visually identified that leads to the reported scenario.The reported problem was not confirmed with a functional evaluation.A test case was performed using a known to work drill.The setup was completed as intended.On the burring phase no failures occurred.The test case was completed without any failures occurring.The console was opened for further investigation.The connections were checked.All were in place.A second technician was asked to confirm the reported scenario.A second test case was performed which could be completed without any failures occurring.A third test case was performed using a different known to work drill.Again, the test case was completed without any failures occurring.A complaint history review was performed by part number, and similar complaints were identified.A review by serial number was performed and no similar complaints were identified.A review of manufacturing records indicates the device met all specifications upon release into distribution.The failure mode and associated risk have been anticipated within the risk file, and the documented risk level is still adequate.A historical review concluded that no prior escalation actions are applicable to the scope of the reported complaint.We have no reason to suspect that the product failed to meet any product specifications at the time of manufacture.No reasonable contributing factors could be identified based on the received complaint information and investigation results.Based on the investigation, no containment or corrective action is 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.
 
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Brand Name
REAL INTELLIGENCE CORI
Common Device Name
ORTHOPEDIC STEREOTAXIC INSTRUMENT
Manufacturer (Section D)
BLUE BELT TECHNOLOGIES
2905 northwest blvd ste 40
plymouth MN 55441
Manufacturer (Section G)
BLUE BELT TECHNOLOGIES
2905 northwest blvd ste 40
plymouth MN 55441
Manufacturer Contact
holly topping
1450 brooks rd.
memphis, TN 38116
5123913905
MDR Report Key24221513
Report Number3010266064-2026-00025
Device Sequence Number8392681
Product Code OLO
UDI-Device Identifier00885556757420
UDI-Public885556757420
Combination Product (Y/N)N
Initial Reporter CountryIT
PMA/510(K) Number
K193120
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Other,Foreign,Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial,Followup
Report Date (Section B) 03/24/2026
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 NumberROB10024
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer01/22/2026
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 01/08/2026
Supplement Date Received by Manufacturer03/03/2026
Initial Report FDA Received Date01/30/2026
Supplement Report FDA Received Date03/24/2026
Was Device Evaluated by Manufacturer? (Y/N) Device Not Returned to Manufacturer
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 Unknown
Patient Sequence Number1
Concomitant Medical Products
and Therapy/Usage Dates
ROB10013, SERIAL NUMBER UNKNOWN
Patient SexUnknown
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