510(K) CLEARANCES 67 ▼8RECALLS POSTED 26CLASS I 2PMA DECISIONS 40 ▼14WEEK ENDING / FDA DATA AS OF
Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-2750-2015Class II

Maryland Dissector; used with the da Vinci Si Surgical System (IS3000); Model numbers: 428050-12, 428050-13...

Intuitive Surgical, Inc. / initiated 2015-08-08 / Terminated / root cause: design

Intuitive Surgical, Inc. began a recall of Maryland Dissector; used with the da Vinci Si Surgical System (IS3000); Model numbers: 428050-12, 428050-13 and 428050-14; The Intuitive Surgical da Vinci... on . FDA classified it as Class II and gives the reason as "In certain circumstances involving select da Vinci Si Single-Site instruments, the jaws of grip actuated instruments may become fixed in a closed position". As of , the recall status on record is Terminated, and MDM tags the root cause as design.

Recall record

Recall number
Z-2750-2015
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Intuitive Surgical, Inc.
Product
Maryland Dissector; used with the da Vinci Si Surgical System (IS3000); Model numbers: 428050-12, 428050-13 and 428050-14; The Intuitive Surgical da Vinci Single-Site Instruments and Accessories used with the da Vinci Si Surgical System (IS3000) are indicated for use by trained physicians in an operating room environment for endoscopic manipulation of tissue, grasping, cutting, blunt and sharp dissection, approximation, clip-ligation and electrocautery during single incision laparoscopic cholecystectomy with the da Vinci Single-Site Instruments and Accessories, including graspers, dissectors, scissors, suction irrigators, monopolar cautery, 5 mm curved cannulae, 5 mm and 10 mm straight cannulae, flexible blunt obturators, and the 5 mm Single-Site Port.
Product code
NAY System, Surgical, Computer Controlled Instrument
Reason for recall
In certain circumstances involving select da Vinci Si Single-Site instruments, the jaws of grip actuated instruments may become fixed in a closed position.
Root cause tag
design
FDA root cause
Device Design
Action
Intuitive Surgical sent an Urgent Device Correction letter to all affected customers. The letter identified the product, the problem, and the action to be taken by the customer. Customers were instructed to do the following: 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. Replace any instrument that shows signs of damage and contact Intuitive Surgical Customer Service. 3. Complete and return the attached Acknowledgment Form to Intuitive Surgical using the instructions provided. 4. Please retain a copy of this notice as well as the attached instructions with your Single-Site User Manual. If you need further information or support concerning this issue, please contact your Clinical 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) For questions regarding this recall call 408-523-2100.
Quantity in commerce
8217 total units
Distribution
Worldwide Distribution - US (nationwide) and Internationally to Australia, Belgium, Brazil, Canada, Chile, China, Cyprus, Denmark, France, Germany, Greece, Israel, Italy, Monaco, Netherlands, Panama, Romania, Saudi Arabia, Singapore, South Korea, Spain, Sweden, Switzerland, Taiwan, Turkey and United Kingdom.
Product codes and lots
Model numbers: 428050-12. 428050-13 and 428050-14; all lots

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-2750-2015
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-2750-2015Class IITerminatedVoluntary: Firm initiated
Z-2751-2015Class IITerminatedVoluntary: Firm initiated
Z-2752-2015Class IITerminatedVoluntary: Firm initiated
Z-2753-2015Class IITerminatedVoluntary: Firm initiated
Z-2754-2015Class IITerminatedVoluntary: Firm initiated
Z-2755-2015Class IITerminatedVoluntary: Firm initiated
Z-2756-2015Class IITerminatedVoluntary: Firm initiated
Z-2757-2015Class IITerminatedVoluntary: Firm initiated
Z-2758-2015Class IITerminatedVoluntary: Firm initiated