FDA Adverse Event Injury Summary report: N

DAVINCI XI

MDR report key: 23575095 · Received November 17, 2025

Report

Report Number
2955842-2025-44657
Event Type
Injury
Date Received
November 17, 2025
Date of Event
October 21, 2025
Report Date
February 13, 2026
Manufacturer
INTUITIVE SURGICAL, INC
Product Code
NAY
UDI-DI
00886874110898
PMA / PMN Number
K131861
Removal / Correction Number
N/A
Report Source
Manufacturer report
Reporter Location
DA
Reporter Occupation
NURSE
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

DEVICE EVALUATION: AN INTUITIVE SURGICAL, INC. (ISI) FIELD SERVICE ENGINEER (FSE) REPLACED THE ERBE INTEGRATED ELECTROSURGICAL UNIT (IESU); THE SYSTEM WAS TESTED AND VERIFIED AS READY FOR USE. ISI RECEIVED A DA VINCI PRODUCT INVOLVED WITH THIS COMPLAINT TO PERFORM FAILURE ANALYSIS. DURING THE POWER-ON TEST, THE ERROR WAS FOUND, CONFIRMING THE FAULT OCCURRED IN THE FIELD. UPON VISUAL INSPECTION, NO ISSUES WERE FOUND THAT WOULD BE RELATED TO THE REPORTED EVENT. THE COMPLAINT WAS CONFIRMED BASED ON FAILURE ANALYSIS.

Additional Manufacturer Narrative · 0

DEVICE EVALUATION: AN INTUITIVE SURGICAL, INC. (ISI) FIELD SERVICE ENGINEER (FSE) REPLACED THE ERBE INTEGRATED ELECTROSURGICAL UNIT (IESU); THE SYSTEM WAS TESTED AND VERIFIED AS READY FOR USE. ISI RECEIVED A DA VINCI PRODUCT INVOLVED WITH THIS COMPLAINT TO PERFORM FAILURE ANALYSIS. DURING THE POWER-ON TEST, THE ERROR WAS FOUND, CONFIRMING THE FAULT OCCURRED IN THE FIELD. UPON VISUAL INSPECTION, NO ISSUES WERE FOUND THAT WOULD BE RELATED TO THE REPORTED EVENT. THE COMPLAINT WAS CONFIRMED BASED ON FAILURE ANALYSIS.

Additional Manufacturer Narrative · 0

INTUITIVE SURGICAL, INC (ISI) DID NOT RECEIVE A DA VINCI PRODUCT TO PERFORM FAILURE ANALYSIS.

Description of Event or Problem · 0

REFER TO H11 FOR FOLLOW-UP INFORMATION.

Description of Event or Problem · 0

REFER TO H11 FOR FOLLOW-UP INFORMATION.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING A DA VINCI-ASSISTED RADICAL PROSTATECTOMY WITHOUT LYMPHADENECTOMY PROCEDURE, A NON-RECOVERABLE ERROR WAS OBSERVED ON THE ERBE GENERATOR, ACCOMPANIED BY BLEEDING. THE ERROR COULD NOT BE RESOLVED, SO THE SURGICAL TEAM SWITCHED TO CLASSIC COAGULATION MODE INSTEAD OF SPRAY COAGULATION. THIS RESULTED IN LOWER OUTPUT AND MADE IT DIFFICULT TO CONTROL THE BLEEDING. THE FOLLOWING INFORMATION IS UNKNOWN: THE SOURCE AND CAUSE OF THE BLEEDING, IF THE BLEEDING WAS EXPECTED OR UNEXPECTED, THE BLOOD LOSS VOLUME ASSOCIATED WITH THE COMPLICATION, AND WHAT MEDICAL/SURGICAL INTERVENTION WAS RENDERED DUE TO THE BLEEDING. NEVERTHELESS, THE PROCEDURE WAS COMPLETED WITHOUT FURTHER ISSUES. THE CUSTOMER INDICATED THAT THEY HAVE NO ADDITIONAL INFORMATION REGARDING THE BLEEDING INCIDENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
274027 DAVINCI XI VISION SIDE SYSTEM NAY INTUITIVE SURGICAL, INC 381121-40 N/A 00886874110898

Patients

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