inforMED
MalfunctionHAW

NDI PASSIVE SPHERES

Received Jul 24, 2014 · Event occurred Jun 26, 2014

Report 3002743211-2014-00018 · MDR key 4176279

Device

Generic name

Reflective Passive Marker Spheres, Olo

Model number

8801002

Lot number

1305181, 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 (B)(4). SPHERES WERE NO RETURNED AS THE DEVICE WAS USED IN A PROCEDURE AND CONSIDERED A BIOHAZARD. DECONTAMINATION OF SPHERE WOULD RENDER INVESTIGATION IMPOSSIBLE. CONTRACT MFR IS STILL EVALUATING DHR BASED ON LOT NUMBER FOR ANY QUAL ISSUES. NO SERIOUS IMPLICATIONS TO THIS ISSUE WERE MENTIONED BY THE COMPLAINANT. NO PT WAS HARMED AND NO SERIOUS INJURY OCCURRED.