BEUDAMED
    FDA Adverse Event Death Summary report: N

    DA VINCI SURGICAL SYSTEM

    MDR report key: 3142082 · Received May 21, 2013

    Report

    Report Number
    3142082
    Event Type
    Death
    Date Received
    May 21, 2013
    Date of Event
    April 17, 2013
    Report Date
    May 17, 2013
    Manufacturer
    INTUITIVE SURGICAL, INC.
    Product Code
    NAY
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    MO, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    INTRAOPERATIVE DEATH SECONDARY TO CARDIOVASCULAR ARREST SECONDARY TO SURGICAL BLEEDING DURING RADICAL NEPHRECTOMY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    225448 DA VINCI SURGICAL SYSTEM DA VINCI NAY INTUITIVE SURGICAL, INC. #VS3000

    Patients

    Seq Age Sex Outcome Treatment
    1 55 YR Death