FDA Adverse Event
Malfunction
Summary report: N
ENDOWRIST
MDR report key: 20565824
·
Received October 30, 2024
Report
- Report Number
- 20565824
- Event Type
- Malfunction
- Date Received
- October 30, 2024
- Date of Event
- July 8, 2024
- Report Date
- August 14, 2024
- Manufacturer
- INTUITIVE SURGICAL, INC.
- Product Code
- NAY
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- WA
- Reporter Occupation
- 003
Narratives
Description of Event or Problem · 0
WHEN INSTRUMENT WAS DOCKED AND INSIDE OF PATIENT, SURGEON NOTICED THE JAWS WERE MISALIGNED WHEN ATTEMPTING USE. NEW INSTRUMENT USED. NO PATIENT HARM. INCIDENT HAS BEEN REPORTED TO INTUITIVE & RETURNED. RGA#. MANUFACTURER RESPONSE FOR ROBOTIC FENESRTATEDGRASPER, (BRAND NOT PROVIDED) (PER SITE REPORTER). ISSUED RGA#
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1965705 | ENDOWRIST | SYSTEM,SURGICAL,COMPUTER CONTROLLED INSTRUMENT | NAY | INTUITIVE SURGICAL, INC. | 470347 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 81 YR | Unknown |