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