FDA Adverse Event Malfunction Summary report: N

ENDOWRIST

MDR report key: 21914349 · Received April 25, 2025

Report

Report Number
2955842-2025-17036
Event Type
Malfunction
Date Received
April 25, 2025
Date of Event
April 10, 2025
Report Date
April 10, 2025
Manufacturer
INTUITIVE SURGICAL, INC
Product Code
NAY
UDI-DI
00886874119815
PMA / PMN Number
K214095
Removal / Correction Number
N/A
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
VA, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

INTUITIVE SURGICAL INC. (ISI) RECEIVED THE 8MMMEGA SUTURECUT NEEDLE DRIVER INSTRUMENT FOR FAILURE ANALYSIS INVESTIGATION. THE INSTRUMENT WAS ANALYZED AND WAS FOUND TO HAVE BLADE DAMAGE AT THE ENTIRE BLADE. BOTH BLADE EDGES WERE INDENTED. THE CUTTING EDGE DID NOT EXHIBIT ANY SIGNS OF CORROSION THAT WOULD HAVE CONTRIBUTED TO THE BLADE DAMAGE.

Additional Manufacturer Narrative · 0

INTUITIVE SURGICAL, INC. (ISI) HAS RECEIVED THE INSTRUMENT; HOWEVER, FAILURE ANALYSIS IS STILL ONGOING. ADDITIONAL INFORMATION IS BEING GATHERED TO DETERMINE THE CONTRIBUTION OF THE DEVICE TO THE CUSTOMER REPORTED ISSUE.

Description of Event or Problem · 0

REFER TO H11 FOR FOLLOW-UP INFORMATION.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING CENTRAL PROCESSING, THE 8MM MEGA SUTURECUT NEEDLE DRIVER INSTRUMENT HAD BROKEN JAWS. THERE WAS NO REPORT OF PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1599683 ENDOWRIST MEGA SUTURECUT ND NAY INTUITIVE SURGICAL, INC 471309-17 K11250206 0339 00886874119815

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown DA VINCI INSTRUMENTS AND ACCESSORIES