FDA Adverse Event Malfunction Summary report: N

DAVINCI XI

MDR report key: 24906714 · Received April 17, 2026

Report

Report Number
2955842-2026-21873
Event Type
Malfunction
Date Received
April 17, 2026
Date of Event
March 18, 2026
Report Date
April 16, 2026
Manufacturer
INTUITIVE SURGICAL, INC
Product Code
NAY
UDI-DI
00886874110898
PMA / PMN Number
K131861
Removal / Correction Number
N/A
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AU
Reporter Occupation
NURSE
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

AN INTUITIVE SURGICAL, INC. (ISI) FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED TO THE CUSTOMER SITE TO FURTHER INVESTIGATE THE REPORTED COMPLAINT. THE FSE WAS ABLE TO REPRODUCE THE ISSUE AND REPLACED THE VIO INTEGRATED ELECTROSURGICAL GENERATOR UNIT (IESU). THE SYSTEM WAS TESTED AND VERIFIED AS READY FOR USE. AS OF THE DATE OF THIS REPORT, THE IESU HAS NOT YET BEEN RECEIVED BY INTUITIVE SURGICAL, INC. (ISI) FOR EVALUATION.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING A DA VINCI-ASSISTED SUBTOTAL COLECTOMY SURGICAL PROCEDURE, AN ERROR C34 OCCURRED ON THE ERBE GENERATOR WHEN ATTEMPTING TO USE THE MONOPOLAR FUNCTION. AN INTUITIVE SURGICAL (IS) TECHNICAL SUPPORT ENGINEER (TSE) WAS CONTACTED FOR TROUBLESHOOTING SUPPORT. THE NURSE HAD ALREADY REBOOTED THE ERBE AND REPLACED THE ENERGY CABLES. THE TSE CONFIRMED THE ERROR IN THE SYSTEM LOGS AND GUIDED THE NURSE TO SWITCH TO CLASSIC MODE AS A WORKAROUND. HOWEVER, THE SURGERY WAS AT A STAGE WHERE THE SURGEON COULD NOT IMMEDIATELY TEST IF THE WORKAROUND WAS EFFECTIVE. THE TSE INQUIRED ABOUT A BACKUP OPTION, WHICH WAS NOT AVAILABLE. THE NURSE WAS INSTRUCTED TO CALL BACK TO UPDATE ON WHETHER THE WORKAROUND WAS SUCCESSFUL OR IF THE SURGERY NEEDED TO BE CONVERTED. THE PROCEDURE WAS COMPLETING AS PLANNED WITH NO PATIENT INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
204787 DAVINCI XI VISION SIDE SYSTEM NAY INTUITIVE SURGICAL, INC 381121-46 N/A 00886874110898

Patients

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