FDA Adverse Event
Malfunction
Summary report: N
ENDOWRIST
MDR report key: 20694085
·
Received November 15, 2024
Report
- Report Number
- 20694085
- Event Type
- Malfunction
- Date Received
- November 15, 2024
- Date of Event
- August 1, 2024
- Report Date
- August 15, 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
THE WIRE CAME OUT FROM THE LIVE COATING. CHANGED TO NEW ROBOTICS IRRIGATION. NO PATIENT HARM. INCIDENT REPORT & RETURNED TO INTUITIVE. RGA#, TRACKING#. MANUFACTURER RESPONSE FOR SUCTION IRRIGATOR, (BRAND NOT PROVIDED) (PER SITE REPORTER). ISSUED RGA#.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1196313 | ENDOWRIST | SYSTEM,SURGICAL,COMPUTER CONTROLLED INSTRUMENT | NAY | INTUITIVE SURGICAL, INC. | 480299 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 55 YR | Female |