DAVINCI 5
Report
- Report Number
- 2955842-2026-04890
- Event Type
- Malfunction
- Date Received
- February 19, 2026
- Date of Event
- January 22, 2026
- Report Date
- March 3, 2026
- Manufacturer
- INTUITIVE SURGICAL, INC
- Product Code
- NAY
- UDI-DI
- 00886874119747
- PMA / PMN Number
- K232610
- Removal / Correction Number
- N/A
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PA, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
THE PROBABLE ROOT CAUSE IS LINKED TO THE CONSOLE BUT UNABLE TO BE TRACED MORE SPECIFICALLY AS FAILURE ANALYSIS WAS ABLE TO CONCLUDE THE COMMON COMPUTER CONTROLLER (CCC) BOARD WAS FUNCTIONING AS EXPECTED.
AN INTUITIVE SURGICAL, INC. (ISI) FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED TO THE CUSTOMER SITE TO FURTHER INVESTIGATE THE REPORTED EVENT. WHILE ONSITE, THE FSE VERIFIED THAT THE POWER CABLE HAD NO ISSUES. THE FSE THEN REPLACED AND VERIFIED THE MEDICAL GRADE POWER SUPPLY (MGPS), BUT THE ISSUE REMAINED. THE FSE REPLACED THE SECOND MGPS, AND THE ISSUE PERSISTED. THE FSE REINSTALLED THE ORIGINAL MGPS IN ALL ORIGINAL LOCATIONS. THE FSE VERIFIED THAT ALL THE CABLES WERE NOT DAMAGED. THE FSE THEN REPLACED THE SURGEON SIDE CONSOLE (SSC) COMMON COMPUTER CONTROLLER (CCC). AFTER REPLACING THE CCC, THE SYSTEM POWERED UP WITHOUT ISSUES. THE SYSTEM WAS TESTED AND VERIFIED AS READY FOR USE. ISI RECEIVED THE PRODUCT INVOLVED WITH THIS COMPLAINT TO PERFORM A FAILURE ANALYSIS INVESTIGATION. THE INVESTIGATION REVEALED THAT THE ISSUE WAS UNRELATED TO THE SSC CCC. LIGHTHOUSE LOG REVIEW SHOWED THAT, EVEN AFTER REPLACING THE SSC CCC, THE FAILURE PERSISTED, CONFIRMING THAT THE PROBLEM WAS ASSOCIATED WITH A DIFFERENT COMPONENT. THEREFORE, THE REPORTED FAILURE COULD NOT BE CONFIRMED OR REPLICATED DURING TESTING OF THE SSC CCC. IN LIGHTHOUSE, NO DATA INDICATED THAT THE FAULT HAD OCCURRED IN THE FIELD. UPON VISUAL INSPECTION, NO ISSUES WERE FOUND RELATED TO THE REPORTED EVENT. THE SSC CCC WAS INSTALLED ONTO A GOLDEN SYSTEM WHERE THE COMPONENT FUNCTIONED AS EXPECTED. THE FIBER OPTIC LIGHT LEVELS ON THE CCC WERE INSPECTED, AND ALL VALUES WERE WITHIN EXPECTATION. TEN POWER CYCLES WERE PERFORMED, AND THE CCC WAS LEFT IN THE GOLDEN SYSTEM TO IDLE FOR 1 HOUR WITH NO ISSUES FOUND. AS A RESULT OF THESE FINDINGS, FAILURE ANALYSIS CONCLUDED THAT NO ROOT CAUSE COULD BE ATTRIBUTED TO THE REPORTED EVENTS.
REFER TO H11 FOR FOLLOW-UP INFORMATION.
IT WAS REPORTED THAT DURING A DA VINCI-ASSISTED SURGICAL PROCEDURE, THE CUSTOMER CONTACTED THE TECHNICAL SUPPORT ENGINEER (TSE) TO REPORT THAT THE SECONDARY SURGEON SIDE CONSOLE (SSC) WAS NOT POWERING ON AND WAS NON-FUNCTIONAL. THE TECHNICAL SUPPORT ENGINEER (TSE) ADVISED THE CUSTOMER TO CYCLE THE BREAKER ON THE SSC AND TO MOVE POWER CORDS WHEN IT WAS CLINICALLY POSSIBLE, AS TAKING ACTION IMMEDIATELY COULD RESULT IN A NON-RECOVERABLE FAULT ON THE SYSTEM. THE SITE INDICATED THAT THEY WOULD TROUBLESHOOT THE ISSUE AFTER THE CASE. THE PROCEDURE WAS COMPLETING AS PLANNED WITH NO REPORTED INJURY. INTUITIVE SURGICAL, INC. (ISI) FOLLOWED UP WITH THE INITIAL REPORTER AND OBTAINED THE FOLLOWING ADDITIONAL INFORMATION: THE OPERATION ROOM STAFF SAID THAT THE SECONDARY SURGEON CONSOLE WAS NOT USED AT ALL FOR THE PROCEDURE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 218260 | DAVINCI 5 | SURGEON SIDE CART | NAY | INTUITIVE SURGICAL, INC | 380730-46 | N/A | 00886874119747 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | DA VINCI INSTRUMENTS AND ACCESSORIES |