BEUDAMED
    FDA Adverse Event Injury Summary report: N

    DA VINCI ROBOTIC

    MDR report key: 3193425 · Received June 21, 2013

    Report

    Report Number
    MW5030655
    Event Type
    Injury
    Date Received
    June 21, 2013
    Manufacturer
    INTUITIVE SURGICAL, INC
    Product Code
    NAY
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NY, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    ON (B)(6) 2012, DR (B)(6) PERFORMED SURGERY OF THE REMOVAL OF MY LEFT OVARY. THE DA VINCI ROBOTIC ASSIST THE SURGEON. SOON AFTER SURGERY, I BECAME VERY ILL WITH SURGICAL MENOPAUSE. AFTER I REQUESTED A U.S./PELVIC TRANSVAGINAL ULTRASOUND, IT WAS DISCOVERED THE RIGHT OVARY IS NOT IDENTIFIED. IT WAS REMOVED IN ERROR DURING SURGERY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    282628 DA VINCI ROBOTIC NONE NAY INTUITIVE SURGICAL, INC

    Patients

    Seq Age Sex Outcome Treatment
    1 43 YR Disability