BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    DAVINCI XI

    MDR report key: 12750736 · Received November 4, 2021

    Report

    Report Number
    12750736
    Event Type
    Malfunction
    Date Received
    November 4, 2021
    Date of Event
    October 20, 2021
    Report Date
    October 29, 2021
    Product Code
    NAY
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MI
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    THE DAVINCI XI LOST PAIRING WITH THE TRUMPF SPECIALTY TABLE DURING THE SURGICAL CASE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1649385 DAVINCI XI SYSTEM,SURGICAL,COMPUTER CONTROLLED INSTRUMENT NAY 187513-06

    Patients

    Seq Age Sex Outcome Treatment
    1