FDA Adverse Event Malfunction Summary report: N

ENDOWRIST

MDR report key: 24513971 · Received March 4, 2026

Report

Report Number
2955842-2026-14976
Event Type
Malfunction
Date Received
March 4, 2026
Date of Event
February 6, 2026
Report Date
April 24, 2026
Manufacturer
INTUITIVE SURGICAL, INC
Product Code
NAY
UDI-DI
00886874119785
PMA / PMN Number
K214095
Removal / Correction Number
ISIFA2024-09-C
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

INTUITIVE SURGICAL INC. (ISI), HAS NOT RECEIVED THE DA VINCI PRODUCT WITH AN ALLEGED ISSUE TO PERFORM FAILURE ANALYSIS.

Additional Manufacturer Narrative · 0

INTUITIVE SURGICAL, INC. (ISI) RECEIVED THE DA VINCI PRODUCT TO PERFORM FAILURE ANALYSIS. THE PROGRASP FORCEPS INSTRUMENT WAS ANALYZED AND THE INSTRUMENT WAS PLACED AND DRIVEN ON AN IN-HOUSE SYSTEM: THE INSTRUMENT PASSED THE RECOGNITION AND ENGAGEMENT TESTS. THE INSTRUMENT MOVED INTUITIVELY WITH FULL RANGE OF MOTION IN ALL DIRECTIONS. THE INSTRUMENT GRIP TIPS OPENED AND CLOSED PROPERLY. THE INSTRUMENT PASSED THE GRIP TEST. THE INSTRUMENT PASSED THE BUMPER TEST. THE BACKLASH OF THE GRIPS IS DUE TO THE DESIGN AND WITHIN THE SPECIFIED LIMITS. NO PRODUCT ISSUE WAS FOUND. THE INSTRUMENT WAS FULLY FUNCTIONAL.

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: THE CABLE IS BROKEN WHICH WEAKENS THE JAWS.

Description of Event or Problem · 0

REFER TO H11 FOR FOLLOW-UP INFORMATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
107427 ENDOWRIST PROGRASP FORCEPS NAY INTUITIVE SURGICAL, INC 471093-11 K10230803 0029 00886874119785

Patients

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