FDA Adverse Event Malfunction Summary report: N

ENDOWRIST

MDR report key: 24984169 · Received April 24, 2026

Report

Report Number
2955842-2026-22894
Event Type
Malfunction
Date Received
April 24, 2026
Date of Event
April 1, 2026
Report Date
April 24, 2026
Manufacturer
INTUITIVE SURGICAL, INC
Product Code
NAY
UDI-DI
00886874124055
Removal / Correction Number
N/A
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

INTUITIVE SURGICAL, INC. (ISI) DID RECEIVE THE SINGLE PORT (SP) FORCE BIPOLAR INSTRUMENT TO PERFORM FAILURE ANALYSIS. FAILURE ANALYSIS WAS NOT REPLICATED AND NOT CONFIRMED THE CUSTOMER COMPLAINT. THE SP FORCE BIPOLAR INSTRUMENT PASSED ELECTRICAL CONTINUITY. THE INSTRUMENT PASSED THE RECOGNITION AND ENGAGEMENT TESTS. THE INSTRUMENT PASSED ENERGY DELIVERY WITH A FULL RANGE OF MOTION IN ALL DIRECTIONS. THE GRIPS OPENED AND CLOSED PROPERLY. THE INSTRUMENT WAS RETESTED AND PASSED ALL IN-HOUSE TESTING ON BOTH ATTEMPTS. THE INSTRUMENT WAS FULLY FUNCTIONAL. THERE WAS NO PHYSICAL DAMAGE TO THE DISTAL WRIST. THE HOUSING WAS REMOVED FOR INSPECTION AND FOUND TO BE UNDAMAGED. NO PRODUCT ISSUE WAS IDENTIFIED.

Additional Manufacturer Narrative · 0

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

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 FORCE BIPOLAR INSTRUMENT ELBOW AND WRIST WERE MOVING ERRATICALLY, AND THE SURGEON COULD NOT CONTROL THE MOTIONS. THE PROCEDURE WAS COMPLETED WITH NO REPORTED INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
624092 ENDOWRIST FORCE BIPOLAR NAY INTUITIVE SURGICAL, INC 431150-02 K11251106 0031 00886874124055

Patients

Seq Age Sex Outcome Treatment
1