FDA Adverse Event Injury Summary report: N

DAVINCI XI

MDR report key: 15034066 · Received July 15, 2022

Report

Report Number
2955842-2022-12986
Event Type
Injury
Date Received
July 15, 2022
Date of Event
June 17, 2022
Report Date
June 17, 2022
Manufacturer
INTUITIVE SURGICAL, INC
Product Code
NAY
UDI-DI
00886874110720
PMA / PMN Number
K131861
Removal / Correction Number
N/A
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

BASED ON THE CURRENT INFORMATION PROVIDED, THE ROOT CAUSES OF THE OPERATIVE COMPLICATIONS CANNOT BE DETERMINED OR ARE UNKNOWN. IF ADDITIONAL INFORMATION IS RECEIVED, A FOLLOW-UP MDR WILL BE SUBMITTED. THERE WAS NO IMAGE OR VIDEO CLIP SUPPLIED FOR REVIEW RELATED TO A SPECIFIC EVENT. SYSTEM OR INSTRUMENT LOG REVIEWS CANNOT BE PERFORMED DUE TO A LACK OF SYSTEM, PROCEDURE, AND INSTRUMENT DETAILS. THE SPECIFIC PROCEDURES/EVENT DATES ARE UNKNOWN. THIS COMPLAINT IS BEING REPORTED DUE TO THE FOLLOWING CONCLUSION: WITHIN A DRAFTED, UNPUBLISHED CLINICAL ARTICLE, IT IS NOTED THAT PERIOPERATIVE TRANSFUSION WAS NECESSARY IN 15 CHILDREN, MOSTLY ONCOLOGY CASES (N=12), IN ASSOCIATION WITH PATIENTS WHO HAD UNDERGONE UNSPECIFIED DA VINCI-ASSISTED XI SURGICAL PROCEDURES.

Description of Event or Problem · 0

INTUITIVE SURGICAL, INC. (ISI) BECAME AWARE OF A DRAFTED, UNPUBLISHED CLINICAL ARTICLE. WITHIN THE DRAFTED CLINICAL ARTICLE, THE FOLLOWING IS NOTED: ¿PERIOPERATIVE TRANSFUSION WAS NECESSARY IN 5% OF CHILDREN (N=15), MOSTLY ONCOLOGY CASES (N=12).¿ ON 28-JUN-2022, ISI OBTAINED ADDITIONAL INFORMATION ABOUT THE DRAFTED CLINICAL ARTICLE COMPLAINT FROM THE AUTHOR. ACCORDING TO THE AUTHOR, A PROFESSOR STATED THAT PATIENTS ARE FOLLOWED UP ONE YEAR AFTER THE OPERATION AND THERE WERE NO POST-OPERATIVE COMPLICATIONS DUE TO THE DA VINCI ROBOT. THE PROFESSOR EXPLAINED THAT THE COMPLICATIONS ARE SURGICAL OR PATHOLOGICAL. THE PATIENTS' DEMOGRAPHIC INFORMATION WAS NOT PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1136781 DAVINCI XI PATIENT SIDE CART, 4-ARM NAY INTUITIVE SURGICAL, INC 380652-33 N/A 00886874110720

Patients

Seq Age Sex Outcome Treatment
1 Unknown DA VINCI INSTRUMENTS AND ACCESSORIES