BEUDAMED
    FDA Adverse Event Other Summary report: N

    INTUITIVE SURGICAL INC.

    MDR report key: 7104608 · Received December 8, 2017

    Report

    Report Number
    MW5073888
    Event Type
    Other
    Date Received
    December 8, 2017
    Date of Event
    June 5, 2017
    Report Date
    November 27, 2017
    Manufacturer
    INTUITIVE SURGICAL INC.
    Product Code
    NAY
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    CABLE BECAME UNATTACHED FROM CAM CAUSING STAPLER TO NO LONGER FUNCTION. BROKEN "PIVOT PIN" ON GRIP CABLES. NO PT HARM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    881538 INTUITIVE SURGICAL INC. DA VINCI SI ENDOWRIST STAPLER 45 NAY INTUITIVE SURGICAL INC. DA VINCI SI S10150402-184

    Patients

    Seq Age Sex Outcome Treatment
    1