Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-0609-2019Class II

Carousel MAS1025-01, part of the Brain Surgical Accessories Intra-operative Kit (KIT0295), accessory used...

Mazor Robotics Ltd / initiated 2014-11-26 / Terminated / root cause: design

Mazor Robotics Ltd began a recall of Carousel MAS1025-01, part of the Brain Surgical Accessories Intra-operative Kit (KIT0295), accessory used with the Renaissance System (TPL0038). Indicated for... on . FDA classified it as Class II and gives the reason as "In some situations the carousel position pin (locker) may cause the carousel upper plate to pop out and the carousel may then inadvertently move". As of , the recall status on record is Terminated, and MDM tags the root cause as design.

Recall record

Recall number
Z-0609-2019
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Mazor Robotics Ltd
Product
Carousel MAS1025-01, part of the Brain Surgical Accessories Intra-operative Kit (KIT0295), accessory used with the Renaissance System (TPL0038). Indicated for precise positioning of surgical instruments or spinal implants during general spinal and brain surgery. It is intended to be used whenever the clinician and/or patient benefits from generated 3D imaging of, high contrast objects.
Product code
HAW Neurological Stereotaxic Instrument
Reason for recall
In some situations the carousel position pin (locker) may cause the carousel upper plate to pop out and the carousel may then inadvertently move.
Root cause tag
design
FDA root cause
Device Design
Action
All Mazor Brain Clinical Sales Representatives (support during clinical cases) were notified of the issue on 11/26/2014 via email as well as received training.
Quantity in commerce
5 units
Distribution
Affected devices were distributed in the US to four different medical facilities in four states
Product codes and lots
Affected products: all Carousels under Level 01 were affected and therefore are applicable to this issue.   The related lots include: WP065611, WP066389, WP066411, WP066412, WP066420.   Explanation of the coding system: a part number (e.g. MAS1025-01) is composed of a generic part number related to the part (e.g. MAS1025) and the level of the part (e.g. 01).

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-0609-2019
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-0609-2019Class IITerminatedVoluntary: Firm initiated