FDA Adverse Event Injury Summary report: N

ENDOWRIST

MDR report key: 22556356 · Received July 21, 2025

Report

Report Number
2955842-2025-30483
Event Type
Injury
Date Received
July 21, 2025
Date of Event
June 12, 2025
Report Date
July 8, 2025
Manufacturer
INTUITIVE SURGICAL, INC
Product Code
NAY
UDI-DI
00886874121504
PMA / PMN Number
K214095
Removal / Correction Number
ISIFA2024-09-C
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AZ, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

THE NEEDLE DRIVER INSTRUMENT HAS NOT BEEN RECEIVED FOR FAILURE ANALYSIS EVALUATION.

Additional Manufacturer Narrative · 0

INTUITIVE SURGICAL, INC. (ISI) DID RECEIVE A DA VINCI PRODUCT TO PERFORM FAILURE ANALYSIS. THE NEEDLE DRIVER INSTRUMENT WAS ANALYZED AND FOUND TO HAVE BLADE DAMAGE AT THE MIDPOINT OF BOTH BLADES. THE BLADES EDGES WERE INDENTED AND DULL PREVENTING INSTRUMENT FROM CUTTING. 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 BILATERAL INGUINAL HERNIA SURGICAL PROCEDURE, THE NEEDLE DRIVER INSTRUMENT DIDN'T "CUT". A FRAGMENT FELL INTO THE PATIENT AND WAS NOT RETRIEVED. THE PROCEDURE WAS COMPLETED. INTUITIVE SURGICAL, INC. (ISI) ATTEMPTED FOLLOW-UP TO OBTAIN ADDITIONAL INFORMATION. HOWEVER, NO FURTHER DETAILS HAVE BEEN RECEIVED AS OF THE DATE OF THIS REPORT.

Description of Event or Problem · 0

REFER TO H11 FOR FOLLOW-UP INFORMATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1939055 ENDOWRIST LARGE SUTURE CUT NEEDLE DRIVER NAY INTUITIVE SURGICAL, INC 471296-07 N10201123 0097 00886874121504

Patients

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