FDA Adverse Event
Malfunction
Summary report: N
ENDOWRIST
MDR report key: 23600000
·
Received November 19, 2025
Report
- Report Number
- 2955842-2025-45714
- Event Type
- Malfunction
- Date Received
- November 19, 2025
- Date of Event
- October 28, 2025
- Report Date
- November 19, 2025
- Manufacturer
- INTUITIVE SURGICAL, INC
- Product Code
- NAY
- UDI-DI
- 00886874119815
- PMA / PMN Number
- K214095
- Removal / Correction Number
- ISIFA2024-09-C
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MN, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 0
INTUITIVE SURGICAL INC. (ISI), HAS NOT RECEIVED THE DA VINCI PRODUCT WITH AN ALLEGED ISSUE TO PERFORM FAILURE ANALYSIS.
Description of Event or Problem · 0
IT WAS REPORTED THAT THE CUSTOMER EXPERIENCED AN ISSUE WITH AN INTUITIVE PRODUCT. THE CUSTOMER REPORTED EVENT HAS NO REPORT OF PATIENT INJURY. ISI FOLLOWED UP WITH THE INITIAL REPORTER AND OBTAINED THE FOLLOWING ADDITIONAL INFORMATION: THERE WAS NO REPORT OF ANY ISSUES RELATED TO NON-INTUITIVE OR CONTROLLED MOTION. THERE WERE NO VISIBLY BROKEN CABLES AT THE INSTRUMENT WRIST. IT IS UNKNOWN IF THERE WAS ANY OTHER PHYSICAL DAMAGE VISIBLE ON THE INSTRUMENT. THERE WAS SUTURE/WIRE VISIBLE AT THE TIP OF THE INSTRUMENT. THE DEVICE WAS RETURNED BACK TO ISI FOR EVALUATION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2306953 | ENDOWRIST | MEGA SUTURECUT ND | NAY | INTUITIVE SURGICAL, INC | 471309-16 | N/A | 00886874119815 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | DA VINCI INSTRUMENTS AND ACCESSORIES |