FDA Adverse Event Malfunction Summary report: N

DAVINCI 5

MDR report key: 24642950 · Received March 19, 2026

Report

Report Number
2955842-2026-16769
Event Type
Malfunction
Date Received
March 19, 2026
Date of Event
February 23, 2026
Report Date
April 20, 2026
Manufacturer
INTUITIVE SURGICAL, INC
Product Code
NAY
UDI-DI
00886874119716
PMA / PMN Number
K232610
Removal / Correction Number
N/A
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

INTUITIVE SURGICAL, INC. (ISI) FOLLOWED UP WITH THE INITIAL REPORTER AND OBTAINED THE FOLLOWING ADDITIONAL INFORMATION: THE SURGEON STATED THAT HE WAS HAVING CONTROL ISSUES. THE FIELD ENGINEER CAME TO INSPECT AND HAD NOT HEARD ANY COMPLAINTS OF THIS SORT BEFORE OR AFTER THIS CASE.

Additional Manufacturer Narrative · 0

AN INTUITIVE SURGICAL, INC. (ISI) FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED TO THE CUSTOMER SITE TO FURTHER INVESTIGATE THE REPORTED EVENT. BASED ON THE FIELD EVALUATION, THIS REPORTED EVENT WAS NOT CONFIRMED. THE FSE WAS NOT ABLE TO REPRODUCE THE ISSUE. THE SYSTEM WAS TESTED AND VERIFIED AS READY FOR USE.

Description of Event or Problem · 0

REFER TO H11 FOR FOLLOW-UP INFORMATION.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING A DA VINCI-ASSISTED SURGICAL PROCEDURE, THE CUSTOMER CONTACTED THE TECHNICAL SUPPORT ENGINEER (TSE) TO REPORT CONTROL ISSUES WITH ARM 2 AND ARM 4 AND REQUESTED SERVICE TO REVIEW THE SYSTEM. THE CALLER WAS NOT PRESENT IN THE ROOM AT THE TIME OF THE CALL, AND TROUBLESHOOTING COULD NOT BE PERFORMED WHILE THE CASE WAS ONGOING. THE PROCEDURE WAS COMPLETING AS PLANNED WITH NO REPORTED INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
184051 DAVINCI 5 PATIENT SIDE CART NAY INTUITIVE SURGICAL, INC 380747-42 N/A 00886874119716

Patients

Seq Age Sex Outcome Treatment
1