BEUDAMED
    FDA Adverse Event Other Summary report: N

    INTUITIVE SURGICAL INC.

    MDR report key: 7104610 · Received December 8, 2017

    Report

    Report Number
    MW5073890
    Event Type
    Other
    Date Received
    December 8, 2017
    Date of Event
    March 15, 2017
    Report Date
    November 27, 2017
    Manufacturer
    INTUITIVE SURGICAL INC.
    Product Code
    NAY
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    CONDUCTOR WIRE DISLODGED, CAUTERY FAILURE. NO PT HARM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    881502 INTUITIVE SURGICAL INC. DA VINCI XI FENESTRATED BIPOLAR FORCEPS NAY INTUITIVE SURGICAL INC. DA VINCI XI S10170117-0116

    Patients

    Seq Age Sex Outcome Treatment
    1