FDA Adverse Event Injury Summary report: N

ERBE VIO DV

MDR report key: 21571763 · Received March 11, 2025

Report

Report Number
9610614-2025-00015
Event Type
Injury
Date Received
March 11, 2025
Date of Event
February 7, 2025
Report Date
March 11, 2025
Manufacturer
ERBE ELEKTROMEDIZIN GMBH
Product Code
GEI
PMA / PMN Number
K150364
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
SC, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

THE INVOLVED VIO DV ELECTROSURGICAL UNIT (ESU) WAS NOT PROVIDED TO ERBE FOR AN EVALUATION (I.E., A TECHNICAL SAFETY CHECK). NO ANOMALIES WERE FOUND IN THE DEVICE HISTORY RECORD (DHR) OF THE ERBE ESU. ALSO, INFORMATION REGARDING THE INSPECTION AND/OR TESTING OF THE DA VINCI ROBOT, MONOPOLAR CURVED SCISSORS, FENESTRATED BIPOLAR FORCEPS, OR NEUTRAL ELECTRODE WAS NOT PROVIDED TO ERBE. DUE TO THE LACK OF INFORMATION, NO DETERMINATION COULD BE MADE TO THE CAUSE(S) OF THE REPORTED INCIDENT. ERBE USA, INC. IS NOW CLOSING THE FILE ON THIS EVENT.

Description of Event or Problem · 0

IT WAS REPORTED THAT A PATIENT INCIDENT OCCURRED WITH THE DA VINCI ROBOT THAT INCLUDED THE ERBE ELECTROSURGICAL UNIT (ESU/GENERATOR) DURING A HYSTERECTOMY. THE EVENT WAS REPORTED TO HAVE OCCURRED TOWARDS THE END OF THE OPERATION. THE EQUIPMENT WAS USED WITH MONOPOLAR CURVED SCISSORS AND FENESTRATED BIPOLAR FORCEPS (NOTE: INFORMATION REGARDING THE MANUFACTURER OF THE ACCESSORIES WAS NOT PROVIDED.). NO INFORMATION WAS CONVEYED TO ERBE REGARDING THE ESU SETTINGS USED DURING THE PROCEDURE. ADDITIONALLY, IT WAS REPORTED THAT THE DA VINCI ROBOT WAS NOT FUNCTIONING PROPERLY DURING THE OPERATION, BUT NO SPECIFIC DETAILS WERE FURNISHED. NEVERTHELESS, A SKIN LESION WAS REPORTED TO HAVE OCCURRED UNDER THE NEUTRAL ELECTRODE (NOTE: NO INFORMATION WAS SPECIFIED AS TO WHO MANUFACTURED THE NEUTRAL ELECTRODE.). THE PLACEMENT OF THE NEUTRAL ELECTRODE WAS NOT PROVIDED, NOR WAS THE APPEARANCE, SIZE, SHAPE, ETC. OF THE SKIN LESION GIVEN. FINALLY, ERBE DOESN'T KNOW IF ANY TREATMENT WAS NECESSARY TO ADDRESS THE SKIN LESION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
337361 ERBE VIO DV ELECTROSURGICAL UNIT GEI ERBE ELEKTROMEDIZIN GMBH VIO DV

Patients

Seq Age Sex Outcome Treatment
1 50 YR Female Other