BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    INTUITIVE SURGICAL INC.

    MDR report key: 7027330 · Received November 13, 2017

    Report

    Report Number
    MW5073279
    Event Type
    Malfunction
    Date Received
    November 13, 2017
    Date of Event
    February 4, 2016
    Report Date
    November 1, 2017
    Manufacturer
    INTUITIVE SURGICAL INC.
    Product Code
    NAY
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER CAREGIVERS

    Narratives

    Description of Event or Problem · 1

    LOOSE/BROKEN GRIP CABLE AT DISTAL END OF INSTRUMENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    803143 INTUITIVE SURGICAL INC. DA VINCI XI SMALL GRAPTOR (GRASPING RETRACTOR) NAY INTUITIVE SURGICAL INC. DA VINCI XI S11151119-0041

    Patients

    Seq Age Sex Outcome Treatment
    1