FDA Adverse Event
Malfunction
Summary report: N
ENDOWRIST CADIERE FORCEPS
MDR report key: 21251448
·
Received January 28, 2025
Report
- Report Number
- 21251448
- Event Type
- Malfunction
- Date Received
- January 28, 2025
- Date of Event
- January 27, 2025
- Report Date
- January 27, 2025
- Manufacturer
- INTUITIVE SURGICAL, INC.
- Product Code
- NAY
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- WI
- Reporter Occupation
- RISK MANAGER
- Health Professional
- N
Narratives
Description of Event or Problem · 0
HI, WE HAD TO GET A NEW CADIERE FORCEP FOR THE ROBOT. THERE ARE WIRES STICKING OUT OF THE INSTRUMENT. WE REMOVED THE CADIERE FORCEP AND REPLACED WITH A NEW ONE. WE ALSO HAD TO GET A NEW DA VINCI CAUTERY HOOK AND REPLACED THAT TO THE FIELD. BOTH WERE USED IN THE PATIENT BEFORE GETTING A NEW INSTRUMENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2405414 | ENDOWRIST CADIERE FORCEPS | SYSTEM, SURGICAL, COMPUTER CONTROLLED INSTRUMENT | NAY | INTUITIVE SURGICAL, INC. | 471049 | K10240822 0394 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 41 YR | Female |