inforMED
MalfunctionHAW

DISPOSABLE REFLECTIVE MARKER SPHERES

Received May 7, 2015 · Event occurred Apr 30, 2015

Report 3002743211-2015-00024 · MDR key 4757536

Device

Generic name

Reflective Passive Marker Spheres

Model number

41773

Lot number

C102061501

Product problems

  • Component Falling

Patient

Not reported

  • No Known Impact Or Consequence To Patient

Narrative

Description of Event or Problem

THIS EVENT WAS COMMUNICATED BY CUSTOMER AT (B)(6). CUSTOMER ADVISED THAT A SPHERE FELL APART DURING ALIGNMENT OF LEG WITH NAVIGATION SYSTEM DURING A TOTAL KNEE REPLACEMENT SURGERY. THE SPHERE WAS NOT TOUCHED AND FELL APART ON IT'S OWN. CUSTOMER CONFIRMED THAT THE PATIENT WAS NOT HARMED IN ANY WAY DURING THE PROCEDURE. PROCEDURE WAS COMPLETED WITH A NEW PACKAGE OF SPHERES. CUSTOMER REPORTED THAT THERE WAS NO DELAY OR ADVERSE EVENT TO THE PATIENT. NO PATIENT/USER INJURY OR OTHER SERIOUS HARM OCCURRED.

Additional Manufacturer Narrative

THE INITIAL SUBMISSION WAS ERRONEOUSLY SUBMITTED AS A 5 DAY REPORT. NDI WAS NOT REQUIRED TO INITIATE ACTION TO PREVENT AN UNREASONABLE RISK OF SUBSTANTIAL HARM.

Remedial action

  • Recall