inforMED
MalfunctionHAW

NDI PASSIVE SPHERES

Received Jul 11, 2014 · Event occurred Dec 5, 2013

Report 3002743211-2014-00005 · MDR key 4170669

Device

Generic name

Reflective Passive Marker Sphere - Haw, Olo

Model number

8801002

Lot number

1303061

Product problems

  • Device Operates Differently Than Expected

Patient

Not reported

  • No Known Impact Or Consequence To Patient

Narrative

Description of Event or Problem

REFLECTIVE STERILE SPHERES FAILED TO TRACK DURING A PROCEDURE. ANOTHER SET OF STERILE SPHERES WERE USED TO COMPLETE THE PROCEDURE. THIS ISSUE WAS COMMUNICATED BY SALES AND SUPPORT MGR WHICH OCCURRED AT (B)(6). SPHERES WERE RETURNED HOWEVER, NO INVESTIGATION OR ANALYSIS COULD BE DONE AS SPHERES WERE USED IN A PROCEDURE AND POTENTIALLY CONTAMINATED. DECONTAMINATION OF SPHERE WOULD RENDER INVESTIGATION IMPOSSIBLE. THEREFORE, NO INVESTIGATION OR ANALYSIS COULD BE PERFORMED. NO SERIOUS IMPLICATIONS TO THIS ISSUE WERE MENTIONED BY THE COMPLAINANT. NO PT WAS HARMED AND NO SERIOUS INJURY OCCURRED.