DAVINCI 5
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
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.
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.
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 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 |