ROSA ONE ROSAS00203

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,health report with the FDA on 2020-03-27 for ROSA ONE ROSAS00203 manufactured by Medtech Sa.

Event Text Entries

[188260701] (b)(4). The device has not been evaluated yet for investigation purpose. Once the evaluation is performed, a follow-up medwatch report will be submitted.
Patient Sequence No: 1, Text Type: N, H10


[188260702] Post registration, but prior to incision, distance sensor was being used to mark entry points on skin. Distance sensor cable was pinched in robot arm joint. The company field service engineer driver attempted to clear, but an error was detected and a shutdown and restart was necessary. Procedure proceeded normally following restart. Delay less than 5 minutes.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3009185973-2020-00098
MDR Report Key9887623
Report SourceCOMPANY REPRESENTATIVE,HEALTH
Date Received2020-03-27
Date of Report2020-03-27
Date of Event2020-03-03
Date Mfgr Received2020-03-03
Device Manufacturer Date2018-04-20
Date Added to Maude2020-03-27
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMR. JAY SHARMA
Manufacturer Street1520 TRADEPORT DRIVE
Manufacturer CityJACKSONVILLE FL 32218
Manufacturer CountryUS
Manufacturer Postal32218
Manufacturer Phone9047414400
Manufacturer G1MEDTECH SA
Manufacturer StreetZAC EUREKA 900 RUE DU MAS DE VERCHANT
Manufacturer CityMONTPELLIER, LANGUEDOC-ROUSSILLON 34000
Manufacturer CountryFR
Manufacturer Postal Code34000
Single Use3
Previous Use Code3
Removal Correction NumberN/A
Event Type3
Type of Report3

Device Details

Brand NameROSA ONE
Generic NameCOMPUTER-ASSISTED SURGICAL DEVICE
Product CodeHAW
Date Received2020-03-27
Model NumberROSA ONE
Catalog NumberROSAS00203
Lot Number3.1.1.1295
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerMEDTECH SA
Manufacturer AddressZAC EUREKA 900 RUE DU MAS DE VERCHANT MONTPELLIER, LANGUEDOC-ROUSSILLON 34000 FR 34000


Patients

Patient NumberTreatmentOutcomeDate
10 2020-03-27

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