Z-1961-2020Class II
da Vinci X Surgical System
Intuitive Surgical, Inc. / initiated 2018-11-21 / Terminated / root cause: manufacturing process
Intuitive Surgical, Inc. began a recall of da Vinci X Surgical System on . FDA classified it as Class II and gives the reason as "Due to a manufacturing variation in the arm that can result in a persistent recoverable fault error (error 23087) and loss of arm functionality prior or during surgery". As of , the recall status on record is Terminated, and MDM tags the root cause as manufacturing process.
Recall record
- Recall number
- Z-1961-2020
- Classification
- Class II
- Status
- Terminated
- Initiated
- Posted
- Terminated
- Recalling firm
- Intuitive Surgical, Inc.
- Product
- da Vinci X Surgical System
- Product code
- NAY System, Surgical, Computer Controlled Instrument
- Reason for recall
- Due to a manufacturing variation in the arm that can result in a persistent recoverable fault error (error 23087) and loss of arm functionality prior or during surgery.
- Root cause tag
- manufacturing process
- FDA root cause
- Process control
- Action
- On 11/21/2018, the firm sent an "Urgent Medical Device Correction" Notification to its customers informing them that the firm had become aware of specific surgical systems were shipped with a manufacturing variation in the arm, which may result in a persistent recoverable fault (error 23087) with could occur prior or during a surgical procedure. The firm emphasized that as indicated in the User Manual, if this fault is persistent, ten the affected arm may be disabled. The firm is instructing that: 1. Inform surgeons and patient side assistants using the surgical system to read and understand the contents of this letter. 2. Additionally, forward this letter to your Risk Manager, OR Director, Purchasing, Biomedical Engineering staff, and other members of your medical staff who perform procedures. 3. Place a copy of this letter with their User Manual until the corrective action has been completed. 4. Inform affected personnel when corrective action has been completed. 5. Please log into the Recalling Firm's Online Community Field Action resource to read or complete any requested actions related to this issue, at this link: https://www.davincisurgerycommunity.com/ 6. In the case where the online resource cannot be used, complete the attached Acknowledgement Form and return it via fax. 7. Please retain a copy of the letter and the acknowledgement form for their files. Actions being taken by the Recalling Firm are: 1. To correct the issue described in this Field Safety Notice, an Recalling Firm representative will schedule a site visit to replace the affected arm. 2. A copy of the Field Safety Notice will be provided to customers with affected surgical systems. 3. A Recalling Firm's representatives will be available by phone to answer any questions related to this Field Safety Notice. Contact Information for any questions: If you need further information or support concerning this Medical Device Notification , please contact your Clinical Sales Repres
- Quantity in commerce
- 74 USMs containing affected rotors
- Distribution
- U.S.: CA, MD, NY, VA, IL, MI, DE, TX, FL, NJ, MA, KY and OH. O.U.S.: Australia, France, Germany and Japan.
- Product codes and lots
- Model: IS4200 UDI: 00886874114216 Device Listing: D295931
Enforcement reports
One row per recalled product line| Recall number | Class | Status | Voluntary or mandated | Report date | Classified |
|---|---|---|---|---|---|
| Z-1960-2020 | Class II | Terminated | Voluntary: Firm initiated | ||
| Z-1961-2020 | Class II | Terminated | Voluntary: Firm initiated |
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