BEUDAMED
    FDA Adverse Event Summary report: N

    DAVINCI

    MDR report key: 2854238 · Received November 7, 2012

    Report

    Report Number
    2854238
    Date Received
    November 7, 2012
    Date of Event
    November 2, 2012
    Report Date
    November 7, 2012
    Manufacturer
    INTUITIVE SURGICAL, INC.
    Product Code
    NAY
    Report Source
    User Facility report
    Reporter Location
    WA, US

    Narratives

    Description of Event or Problem · 1

    SINGLE SITE MEDIUM-LARGE CLIP APPLIER-BOTH IN SET, HELD CLIPS TOO LOOSELY, CLIPS WERE FALLING OFF, EVEN THOUGH IT HASN'T EXPIRED YET.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DAVINCI SYSTEM,SURGICAL,COMPUTER CONTROLLED INSTRUMENT NAY INTUITIVE SURGICAL, INC. 428053 *

    Patients

    Seq Age Sex Outcome Treatment
    1 32 YR