FDA Adverse Event
Malfunction
Summary report: N
VERSIUS SURGICAL SYSTEM
MDR report key: 25315224
·
Received May 28, 2026
Report
- Report Number
- 3015488559-2026-00052
- Event Type
- Malfunction
- Date Received
- May 28, 2026
- Date of Event
- May 6, 2026
- Report Date
- May 28, 2026
- Manufacturer
- CMR SURGICAL LIMITED
- Product Code
- SCV
- PMA / PMN Number
- K252111
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NO
- Reporter Occupation
- 003
Narratives
Additional Manufacturer Narrative · 0
CMR SURGICAL LIMITED IS SUBMITTING THIS REPORT TO COMPLY WITH FDA REGULATION 803. A SUPPLEMENTAL REPORT WILL BE SUBMITTED IF FURTHER INFORMATION BECOMES AVAILABLE. CMR SURGICAL LIMITED DOES NOT CONSIDER THIS REPORT AND CONTENT TO BE AN ADMISSION THAT ITSPRODUCT IS DEFECTIVE OR THAT IT HAS CAUSED A DEATH OR SERIOUS INJURY.
Description of Event or Problem · 0
IT WAS REPORTED THAT DURING SURGICAL SET UP IT WAS IDENTIFIED THAT THE SHAFT OF A MONOPOLAR CURVED SCISSORS APPEARED TO HAVE A TEAR. THE INSTRUMENT WAS INSPECTED UNDER A MICROSCOPE AND IT WAS CONFIRMED THAT THE SHAFT INSULATION DAMAGE WAS PRESENT ON THE INSTRUMENT AS REPORTED. THIS WAS IDENTIFIED PRIOR TO CLINICAL USE, THE SURGICAL TEAM USED A NEW INSTRUMENT, NO HARM TO PATIENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 248162 | VERSIUS SURGICAL SYSTEM | MONOPOLAR CURVED SCISSORS | SCV | CMR SURGICAL LIMITED | 013309 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |