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