inforMED
MalfunctionHAW

NDI PASSIVE SPHERES

Received May 28, 2025 · Event occurred Apr 8, 2025

Report 3002743211-2025-00001 · MDR key 22095203

Device

Generic name

Ndi Passive Spheres

Model number

8800738

Catalog number

8800738

Lot number

2409601

Product problems

  • Failure to Sense
  • Failure to Sense

Patient

NA · Unknown

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Description of Event or Problem

INITIAL REPORT: ON APRIL 08, 2025, NDI'S SPHERE DISTRIBUTOR, AMPLITUDE, RECEIVED A COMPLAINT FROM (B)(6) HOSPITAL IN FRANCE, ALLEGING THAT NDI'S SENSORS (SPHERES) RETURNED A STROBE-LIKE IMAGE TO THEIR TRACKING SYSTEM, THEREBY MAKING IT IMPOSSIBLE TO VALIDATE THE VARIOUS NAVIGATION PHASES. DUE TO THIS ISSUE, THE SURGICAL TEAM DETERMINED THAT IT WAS IMPOSSIBLE TO PROGRESS THROUGH THE VARIOUS OPERATING STAGES OF THE PLANNED SURGERY. THIS RESULTED IN A 35 MINUTE DELAY IN THE SURGERY. THE SURGICAL TEAM WAS ABLE TO RESOLVE THE ISSUE BY USING SENSORS FROM ANOTHER COMPANY. IT WAS REPORTED THAT THERE WAS NO NEGATIVE IMPACT ON PATIENT OUTCOME.

Additional Manufacturer Narrative

NDI WILL COMPLETE A FOLLOW-UP REPORT AS SOON AS ADDITIONAL INFORMATION BECOMES AVAILABLE.