FDA Adverse Event Malfunction Summary report: N

ENDOWRIST

MDR report key: 22206965 · Received June 13, 2025

Report

Report Number
2955842-2025-25355
Event Type
Malfunction
Date Received
June 13, 2025
Date of Event
May 22, 2025
Report Date
May 22, 2025
Manufacturer
INTUITIVE SURGICAL, INC
Product Code
NAY
UDI-DI
00886874112298
PMA / PMN Number
K220023
Removal / Correction Number
N/A
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

INTUITIVE SURGICAL, INC. (ISI) HAS RECEIVED THE INSTRUMENT FOR EVALUATION. HOWEVER, THE FAILURE ANALYSIS HAS NOT BEEN COMPLETED YET. A FOLLOW-UP MDR WILL BE SUBMITTED IF ADDITIONAL INFORMATION IS OBTAINED.

Additional Manufacturer Narrative · 0

INTUITIVE SURGICAL, INC. (ISI) HAS RECEIVED THE MONOPOLAR CURVED SCISSORS INSTRUMENT ASSOCIATED WITH THIS COMPLAINT AND COMPLETED INVESTIGATIONS. THE INSTRUMENT WAS FOUND TO HAVE BLADE DAMAGE TO THE TIP. ONE OF THE BLADE EDGES WAS INDENTED, WHICH PREVENTS THE BLADES FROM OPENING AND CLOSING PROPERLY AS REPORTED BY THE CUSTOMER. THE BLADE INDENTATION DID NOT RESULT IN THE CUT TEST FAILURE. THE CUTTING EDGE DID NOT EXHIBIT ANY SIGNS OF CORROSION THAT WOULD HAVE CONTRIBUTED TO THE BLADE DAMAGE.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING A DA VINCI-ASSISTED UNILATERAL INGUINAL HERNIA SURGICAL PROCEDURE, THE MONOPOLAR CURVED SCISSORS (MCS) INSTRUMENT DID NOT FULLY CLOSE. THE PROCEDURE WAS COMPLETED WITH NO REPORTED INJURY.

Description of Event or Problem · 0

REFER TO H11 FOR FOLLOW-UP INFORMATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
344282 ENDOWRIST MONOPOLAR CURVED SCISSORS NAY INTUITIVE SURGICAL, INC 470179-23 K13250227 0076 00886874112298

Patients

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