FDA Adverse Event Malfunction Summary report: N

ENDOWRIST

MDR report key: 24275631 · Received February 6, 2026

Report

Report Number
2955842-2026-03376
Event Type
Malfunction
Date Received
February 6, 2026
Date of Event
July 2, 2025
Report Date
February 5, 2026
Manufacturer
INTUITIVE SURGICAL, INC
Product Code
NAY
UDI-DI
00886874119808
PMA / PMN Number
K214095
Removal / Correction Number
N/A
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
NURSE
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

INTUITIVE SURGICAL, INC. (ISI) RECEIVED THE DA VINCI PRODUCT TO PERFORM FAILURE ANALYSIS. THE FENESTRATED BIPOLAR FORCEPS INSTRUMENT WAS ANALYZED AND FOUND TO HAVE A BROKEN CONDUCTOR WIRE AT THE PROXIMAL END NEAR THE MAIN TUBE AND ROLL GEAR JUNCTION. THE WIRE BREAK HAPPENED AROUND 3.74 IN FROM THE CONDUCTOR WIRE PROXIMAL PIN CONNECTION. THERE WERE NO SIGNS OF THERMAL DAMAGE OBSERVED. THE COMPLAINT REGARDING INSTRUMENT WOULD NOT ACTIVATE WAS CONFIRMED BY FAILURE ANALYSIS.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING A DA VINCI-ASSISTED CHOLECYSTECTOMY SURGICAL PROCEDURE, THE FENESTRATED BIPOLAR FORCEPS INSTRUMENT ENERGY WOULD NOT ACTIVATE, DESPITE REPLACING ENERGY CORD. THE PROCEDURE WAS COMPLETED WITH NO REPORTED PATIENT INJURY. INTUITIVE SURGICAL, INC. (ISI) FOLLOWED UP WITH THE INITIAL REPORTER AND OBTAINED THE FOLLOWING ADDITIONAL INFORMATION: NO ARCING WAS OBSERVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
344706 ENDOWRIST FENESTRATED BIPOLAR FORCEPS NAY INTUITIVE SURGICAL, INC 471205-19 K17250116 0256 00886874119808

Patients

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