FDA Recall Terminated

INSTRUMENT ARM DRAPE, IS4000, 20 PACK; used on the da Vinci Xi Surgical System. The Intuitive Surgical Endoscope Instrument Control System (da Vinci Surgical System, Model IS4000) is intended to assist in the accurate control of Intuitive Surgical Endoscopic Instruments.

Recall: Z-1949-2015 · Initiated June 16, 2015

Recall

Recall Number
Z-1949-2015
Event Number
71448
Firm
Intuitive Surgical, Inc.
FEI Number
3001675293
Product Code
NAY
Status
Terminated
Root Cause
Device Design
Initiated
June 16, 2015
Posted
July 1, 2015
Terminated
October 5, 2015
Address
1266 Kifer Rd, Bldg 100, Sunnyvale, CA, 94086-5304

Description

INSTRUMENT ARM DRAPE, IS4000, 20 PACK; used on the da Vinci Xi Surgical System. The Intuitive Surgical Endoscope Instrument Control System (da Vinci Surgical System, Model IS4000) is intended to assist in the accurate control of Intuitive Surgical Endoscopic Instruments.

Reason

Field Safety Notification to advise of an issue that may occur involving the combination of the da Vinci Xi Drapes and Xi instruments. A pinched drape may cause a message on the Vision Cart touchscreen - Missing reload error.

Action

Intuitive Surgical sent an Urgent Medical Device Notification letter on June 16 , 2015 to all affected consignees. Consignees were instructed to take the following actions: 1. Ensure that all affected personnel are fully informed of this notice. Forward this notice to your Risk Manager, OR Director, Purchasing Manager, Biomedical Engineering staff and members of your medical staff who perform da Vinci Surgery procedures. 2. Complete and return the attached Acknowledgment Form to Intuitive Surgical using the instructions provided. 3. Please retain a copy of this notice with your system. 4. Refer to the da Vinci Xi System User Manual for more information on draping the system. Consignees with questions or needing spport should contact their Clinical Sales Representative or contact Intuitive Surgical Sustomer Service at the numbers listed below: Sales Representative or contact Intuitive Surgical Customer Service at the numbers listed below: North and South America: (800) 876-1310, Option 3 (6 AM to 5 PM PST) or mail: [email protected] Europe, Middle East, Asia and Africa: +800 0821 2020 or +41 21 821 2020 (8 AM to 6 PM CET) or [email protected] South Korea: 02-3271-3200 (9 AM to 6 PM KSTJ) Japan: 0120-56-5635 or 003-5575-1362 (9 AM to 6 PM JST) .

Distribution

Worldwide Distribution - US (nationwide) and Internationally to Australia, Austria, Belgium, Czech Republic, France, Germany, Greece, India, Israel, Italy, Japan, Netherlands, Norway, Puerto Rico, Qatar, Saudi Arabia, Singapore, South Korea, Spain, Sweden, Switzerland, Turkey, and United Kingdom.

Quantity

310