BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    INTUITIVE SURGICAL INC., SCISSOR TIP COVER ACCESSORY

    MDR report key: 10024044 · Received May 4, 2020

    Report

    Report Number
    MW5094361
    Event Type
    Malfunction
    Date Received
    May 4, 2020
    Date of Event
    March 19, 2020
    Report Date
    March 20, 2020
    Manufacturer
    INTUITIVE SURGICAL INC
    Product Code
    NAY
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    SCISSOR TIP COVER ACCESSORY TOP OF RUBBER TIP SLIT­ LIKE TORE INSIDE THE CAVITY BUT REMAINED INTACT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    483599 INTUITIVE SURGICAL INC., SCISSOR TIP COVER ACCESSORY SYSTEM, SURGICAL, COMPUTER CONTROLLED INSTRUMENT NAY INTUITIVE SURGICAL INC 400180 M91191206

    Patients

    Seq Age Sex Outcome Treatment
    1 67 YR