FDA Adverse Event Malfunction Summary report: N

ENDOWRIST

MDR report key: 23044123 · Received September 12, 2025

Report

Report Number
2955842-2025-37773
Event Type
Malfunction
Date Received
September 12, 2025
Date of Event
August 12, 2025
Report Date
August 19, 2025
Manufacturer
INTUITIVE SURGICAL, INC
Product Code
NAY
UDI-DI
00886874112311
PMA / PMN Number
K131861
Removal / Correction Number
N/A
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

INTUITIVE SURGICAL, INC. (ISI) RECEIVED THE DA VINCI PRODUCT TO PERFORM FAILURE ANALYSIS. THE PERMANENT CAUTERY HOOK (PCH) INSTRUMENT WAS ANALYZED AND FOUND TO THE INSTRUMENT PASSED THE RECOGNITION AND ENGAGEMENT TESTS. THE INSTRUMENT MOVED INTUITIVELY WITH FULL RANGE OF MOTION IN ALL DIRECTIONS. THE MONOPOLAR ENERGY CORD WAS CONNECTED TO AN IN-HOUSE ERBE GENERATOR AND PASSED RECOGNITION AS AN ENERGY DEVICE. THE INSTRUMENT PASSED ENERGY DELIVERY TESTING IN VARIOUS GRIP ORIENTATIONS. THE INSTRUMENT ALSO PASSED THE ELECTRICAL CONTINUITY TEST. THE INSTRUMENT WAS FULLY FUNCTIONAL. NO PRODUCT ISSUE WAS IDENTIFIED. THE COMPLAINT REGARDING THE POWER IS NOT TRANSMITTED UP TO THE TIP, LEAK AT THE JOINT WAS CONFIRMED BY FAILURE ANALYSIS. THE PROBABLE ROOT CAUSE CANNOT BE DETERMINED BASED ON THE INFORMATION PROVIDED AND FAILURE ANALYSIS RESULTS.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING A DA VINCI-ASSISTED SURGICAL PROCEDURE, THE 8MM PERMANENT CAUTERY HOOK INSTRUMENT (PCH) WOULD NOT DELIVER ENERGY, LEAK AT THE JOINT. THE PROCEDURE WAS COMPLETED WITH NO REPORTED PATIENT INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2180601 ENDOWRIST PERMANENT CAUTERY HOOK NAY INTUITIVE SURGICAL, INC 470183-16 K10230310 0042 00886874112311

Patients

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