FDA Adverse Event
Malfunction
Summary report: N
ENDOWRIST
MDR report key: 20609272
·
Received November 5, 2024
Report
- Report Number
- 20609272
- Event Type
- Malfunction
- Date Received
- November 5, 2024
- Date of Event
- July 25, 2024
- Report Date
- August 19, 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
SELF TEST FAILED CLAIMS BLADE WAS ALREADY EXPOSED UPON FIRST INSERTION. NO PATIENT HARM. NO PATIENT CONTACT. ***** HAS BEEN REPORTED & RETURNED TO INTUITIVE SURGICAL RGA. ====================== MANUFACTURER RESPONSE FOR VESSEL SEALER, (BRAND NOT PROVIDED) (PER SITE REPORTER) ====================== ISSUED RGA AND WILL ISSUE CREDIT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 57231 | ENDOWRIST | SYSTEM, SURGICAL, COMPUTER CONTROLLED INSTRUMENT | NAY | INTUITIVE SURGICAL, INC. | 480422 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 49 YR | Male |