MEDTECH SAS: ROSA One 3.1 Brain Application

Recall number

Z-1151-2020

Recalling firm

MEDTECH SAS

Product

ROSA One 3.1 Brain Application

Status

Terminated

Initiated

2020-01-06

Posted

not on file

Terminated

2020-11-05

Reason

Some cross-sectional images from the image acquisitions of the patients head may not be reconstructed/displayed properly in two and three dimension views when using ROSA Brain software, potentially compromising the surgery planning.

Root cause

Software design

Action

On January 6, 2020, Zimmer Biomet issued URGENT MEDICAL DEVICE CORRECTION notices to customers via FedEx. Actions Required By Users: Your device can continue to be used, as long as the recommendations below are followed: While the current Instructions For Use do not require the images to be reviewed with ROSA Brain software prior to surgery, they adequately describe the standard workflow and indicate that the image acquisition of the patients head (MRI / CT or 2D X-Ray images) is performed prior to surgery, and is then loaded into the device and used by the surgeon in the preoperative phase to carry out the surgical planning. Due to this potential image management issue, Zimmer Biomet recommends that images be reviewed using the ROSA Brain software prior to surgery. If an issue is detected with the reconstruction and display of the images using the ROSA software, and if the artifacts are located in the Region Of Interest and prevent the surgical planning, then the surgery might have to be cancelled or converted to traditional surgery. However, if the artifacts are not located inside the Region Of Interest and if the surgery planning is successful, the affected device can continue to be used. Transmission of the Medical Device Correction: Please advise the appropriate personnel working in your department with the ROSA system of the content of the letter. Risk Manager Responsibilities: 1. Review the notification and ensure affected personnel are aware of the contents. 2. Complete the Certificate of Acknowledgement. a. Return a digital copy to CorporateQuality.PostMarket@zimmerbiomet.com. b. Retain a copy of the Acknowledgement Form with your field action records in the event of a compliance audit of your facilities documentation. 3. If you have further questions or concerns after reviewing the notice, please call Perry Twyford at 281-389-3236 between 9:00 am and 6:00pm EST, Monday through Friday. Alternatively, your questions may be e

Quantity

39 units

Distribution

US Nationwide

Lot, serial or model codes

Serial Number / UDI Number:  1) BS19037 / UDI - (01)03760244030948(11)190423(21)BS19037;  2) BS19038 / UDI - (01)03760244030948(11)190415(21)BS19038;  3) BS19039 / UDI - (01)03760244030948(11)190430(21)BS19039; 4) BS19040 / UDI - (01)03760244030948(11)190513(21)BS19040; 5) BS19041 / UDI - (01)03760244030948(11)190523(21)BS19041; 6) BS19043 / UDI - (01)03760244030948(11)190513(21)BS19043;  7) BS19049 / UDI - (01)03760244032492(11)190730(21)BS19049;  8) BS19050 / UDI - (01)03760244032492(11)190726(21)BS19050; 9) BS19052 / UDI - (01)03760244032492(11)190731(21)BS19052;  10) BS19054 / UDI - (01)03760244032492(11)190912(21)BS19054;  11) BS19057 / UDI - (01)03760244032492(11)191003(21)BS19057;  12) BS19058 / UDI - (01)03760244032492(11)191011(21)BS19058.

510(k) numbers

["K151359","K172444","K182417"]

PMA numbers

not on file

Product code

HAW

Firm FEI

3009185973

Firm city

Montpellier

Firm state

not on file

Firm country

France

Cite as

FDA Medical Device Recalls (openFDA) (U.S. Food and Drug Administration (openFDA)), device-recall-0001-of-0001.json.zip, sha256 b87518bfe2e8, published 2026-09-28

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