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-1727-2017Class II

STAPLER,IS4000; da Vinci Xi EndoWrist Stapler Release Kit (SRK); model number 470298. da Vinci Xi Swedish SRK...

Intuitive Surgical, Inc. / initiated 2017-03-15 / Terminated / root cause: design

Intuitive Surgical, Inc. began a recall of STAPLER,IS4000; da Vinci Xi EndoWrist Stapler Release Kit (SRK); model number 470298. da Vinci Xi Swedish SRK General and Plastic Surgery: The Intuitive... on . FDA classified it as Class II and gives the reason as "Intuitive Surgical has become aware and further investigation has determined that misinterpretation of instructions provided on the IS4000 Stapler Release Kit instruction card may result damage of the tool". As of , the recall status on record is Terminated, and MDM tags the root cause as design.

Recall record

Recall number
Z-1727-2017
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Intuitive Surgical, Inc.
Product
STAPLER,IS4000; da Vinci Xi EndoWrist Stapler Release Kit (SRK); model number 470298. da Vinci Xi Swedish SRK General and Plastic Surgery: The Intuitive Surgical EndoWrist Stapler 45, Stapler 45 Reloads and other Stapler Accessories are intended to be used with the da Vinci Xi Surgical System (Model IS4000) for resection, transection and/or creation of anastomoses in General, Thoracic, Gynecologic, and Urologic surgery. The device can be used with staple line or tissue butressing material (natural or synthetic).
Product code
NAY System, Surgical, Computer Controlled Instrument
Reason for recall
Intuitive Surgical has become aware and further investigation has determined that misinterpretation of instructions provided on the IS4000 Stapler Release Kit instruction card may result damage of the tool.
Root cause tag
design
FDA root cause
Device Design
Action
Intuitive sent an Urgent Medical Device Correction (ISIFA2017-02-C) letter dated March 16, 2017 were sent by FED EX to be received on March 17, 2017. Letters advised users of the reason for the notification, risk to health, affected products with part numbers and a copy of Appendix A - proper use of the Stapler Release Kit (SRK). Customers were instructed to distribute a copy of the letter to all users at their facility, follow all instructions using the Instrument Release Kit (IRK) tool to finish manually unclamping the stapler and return the SRK to Intuitive Surgical through the Returned Material Authorization (RMA) process. Customers were also instructed to log into the da Vinci Online Community Field Action resource (US only) to read or complete any request actions related to this issue. In the case where the da Vinci online resource cannot be used (including outside he US), complete the attached Acknowledgement Form and return it via fax to Intuitive Surgical as instructed on the form. Customers were asked to retain a copy of the letter with their Stapler User Manual and the acknowledgement form for their files. If you need further information or support concerning this notification , please contact Intuitive Surgical Customer Service at the numbers listed below: North and South America: (800) 876-1310, Option 3 (4 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 03-5575-1362 (9 AM to 6 PM JST) For questions regarding this recall call 408-523-2100.
Quantity in commerce
2059 shipped - all languages
Distribution
Worldwide Distribution - US (nationwide) and Internationally to Australia, Austria, Belgium, Canada, Chile, Colombia, Czech Republic, Denmark, Finland, France, Germany, Hong Kong, Ireland, Italy, Japan, Luxembourg, Monaco, Netherlands, Norway, Portugal, Puerto Rico, Singapore, South Korea, Spain, Sweden, Switzerland, Taiwan, Turkey, United Kingdom and Venezuela
Product codes and lots
Part number: 381402-01

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-1727-2017
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-1714-2017Class IITerminatedVoluntary: Firm initiated
Z-1715-2017Class IITerminatedVoluntary: Firm initiated
Z-1716-2017Class IITerminatedVoluntary: Firm initiated
Z-1717-2017Class IITerminatedVoluntary: Firm initiated
Z-1718-2017Class IITerminatedVoluntary: Firm initiated
Z-1719-2017Class IITerminatedVoluntary: Firm initiated
Z-1720-2017Class IITerminatedVoluntary: Firm initiated
Z-1721-2017Class IITerminatedVoluntary: Firm initiated
Z-1722-2017Class IITerminatedVoluntary: Firm initiated
Z-1723-2017Class IITerminatedVoluntary: Firm initiated
Z-1724-2017Class IITerminatedVoluntary: Firm initiated
Z-1725-2017Class IITerminatedVoluntary: Firm initiated
Z-1726-2017Class IITerminatedVoluntary: Firm initiated
Z-1727-2017Class IITerminatedVoluntary: Firm initiated
Z-1728-2017Class IITerminatedVoluntary: Firm initiated
Z-1729-2017Class IITerminatedVoluntary: Firm initiated