DA VINCI
Report
- Report Number
- 2955842-2026-16616
- Event Type
- Malfunction
- Date Received
- March 18, 2026
- Date of Event
- February 13, 2026
- Report Date
- March 18, 2026
- Manufacturer
- SCHOELLY FIBEROPTIC GMBH
- Product Code
- GCJ
- UDI-DI
- 04250480109076
- PMA / PMN Number
- K221591
- Removal / Correction Number
- N/A
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- 501
Narratives
INTUITIVE SURGICAL, INC. (ISI) HAS RECEIVED THE SCHOELLY HANDHELD CAMERA TO PERFORM FAILURE ANALYSIS. HOWEVER, AS OF THE DATE OF THIS REPORT, THE EVALUATION OF THE SCHOELLY HANDHELD CAMERA HAS NOT BEEN COMPLETED.
IT WAS REPORTED THAT DURING AN UNSPECIFIED DA VINCI-ASSISTED SURGICAL PROCEDURE, THE SCHOELLY HANDHELD CAMERA WAS NOT CONNECTING, AND COLOR BARS WERE DISPLAYED ON THE MONITOR OF THE VISION SIDE CART (VSC). THE CUSTOMER STATED THEY HAVE HAD MULTIPLE CONNECTION ISSUES WITH THE SCHOELLY HANDHELD CAMERA ASSOCIATED WITH THIS EVENT. IT WAS STATED THEY WOULD CLEAN THE CAMERA CONNECTOR WITH AN ALCOHOL WIPE AND "SOMETIMES THAT WOULD FIX THE CONNECTION ISSUE." HOWEVER, ONCE SENT THROUGH THE STERILIZATION PROCESS IT WOULD NO LONGER CONNECT. A BACKUP SCHOELLY HANDHELD CAMERA WAS REQUESTED AND INSTALLED WHICH CAUSED A 5-MINUTE SURGICAL DELAY. THE PROCEDURE WAS COMPLETED ROBOTICALLY WITH NO REPORTED PATIENT INJURY, AND THE PATIENT WAS DISCHARGED HOME THE SAME DAY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 686756 | DA VINCI | NIR HANDHELD CAMERA | GCJ | SCHOELLY FIBEROPTIC GMBH | 470655-01 | N/A | 04250480109076 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | DA VINCI INSTRUMENTS AND ACCESSORIES. |