Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-0406-2024Class II

Da Vinci Single-Site Wristed Needle Driver, REF: 478115, 5 mm

Intuitive Surgical, Inc. / initiated 2023-10-06 / Open, Classified / root cause: manufacturing process

Intuitive Surgical, Inc. began a recall of Da Vinci Single-Site Wristed Needle Driver, REF: 478115, 5 mm on . FDA classified it as Class II and gives the reason as "There is the potential for the needle drive to become dislodged and/or broken which could result in uncontrollable movement". As of , the recall status on record is Open, Classified, and MDM tags the root cause as manufacturing process.

Recall record

Recall number
Z-0406-2024
Classification
Class II
Status
Open, Classified
Initiated
Posted
Recalling firm
Intuitive Surgical, Inc.
Product
Da Vinci Single-Site Wristed Needle Driver, REF: 478115, 5 mm
Product code
NAY System, Surgical, Computer Controlled Instrument
Reason for recall
There is the potential for the needle drive to become dislodged and/or broken which could result in uncontrollable movement.
Root cause tag
manufacturing process
FDA root cause
Process control
Action
On October 24, 2023, Intuitive issued a "Urgent Medical Device Recall notification" to all affected consignees via E.Mail. Intuitive asked consignees to take the following actions: 1. Read and understand the contents of the letter. 2. Locate and return all affected lots of 478115-03 in your inventory via the standard RMA process by calling Intuitive Customer Service based on your region below. 3. Notify all surgeons, personnel, and sites using da Vinci X and da Vinci Xi Single Site Wristed Needle Driver, PN 478115-03 that they should review and understand the contents of this letter. 4. Complete the attached Acknowledgement Form immediately and return it via email to Intuitive as instructed on the form. a. Please retain a copy of this letter and the acknowledgement form for your files. 5. Inform Intuitive of any Adverse Events* or quality problems concerning the use of the subject device via the standard complaint process. 6. For Customers in the US: 7. Adverse reactions or quality problems experienced with the use of this product may be reported to the FDA's MedWatch Adverse Event Reporting program either online, by regular mail or by fax. a. Complete and submit the report Online Regular Mail or Fax: Download form or call 1-800-332-1088 to request a reporting form, then complete and return to the address on the pre-addressed form or submit by fax to 1-800-FDA-0178. 8. Inform all affected personnel at your site who use da Vinci procedures when the return has been completed.
Quantity in commerce
317 units
Distribution
US: IL, FL, ID, SC, MI, TX, TN, NY, OR, CO, CA, MS, NJ, Puerto Rico OUS: South Korea
Product codes and lots
UDI:00886874113752/ Serial Numbers: T10220412, T10220420, T10220426, T10220503, T10220518, T10220629, T10220715, T10220721, T10220811, T10220819, T10220901, T10220909, T10220920, T10220923, T10220928, T10221101, T10221109, T10230207, T11221109

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-0406-2024
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-0406-2024Class IIOngoingVoluntary: Firm initiated