FDA recall record

Intuitive Surgical da Vinci Surgical System, IS 4000 recall — FDA Z-0283-2021

One da Vinci Xi Endoscope Controller in the field was improperly calibrated during servicing. The result of this improper calibration may result in the…

Class IIclassification
Z-0283-2021official record ID
Nov 4, 2020report date

Recall record at a glance

Official recordZ-0283-2021
CategoryMedical Device Recalls
ClassificationClass II
FDA record statusTerminated
Recalling firmIntuitive Surgical, Inc.
Report dateNov 4, 2020
Recall initiation dateJun 17, 2019
Quantity1 system
LocationSunnyvale, CA, United States

Official product description

da Vinci Surgical System, IS 4000; Endoscope Controller, Model Number: 372601-16 (UDI: 00886874114193) is included in the IS 4000 Vision Cart, Model Number: 381121-31 (UDI 00886874110898) - Product Usage: used with an endoscope, surgical instruments, and accessories to perform minimally invasive surgical procedures.

Why the product was recalled

One da Vinci Xi Endoscope Controller in the field was improperly calibrated during servicing. The result of this improper calibration may result in the tip of the endoscope may reach higher temperature causing the potential for thermal tissue injury and/or overly bright images.

Distribution information

US Nationwide distribution including in the state of Washington.

How to read the classification

FDA Class II indicates a situation in which use of or exposure to the product may cause temporary or medically reversible adverse health consequences, or where the probability of serious consequences is remote. The classification shown here comes from the FDA record.

Additional record details

Recall type: Voluntary: Firm initiated. Initial notification: Letter.

What to do next

If you believe you have the recalled product, use the recall number and firm information above to confirm the official notice and follow the instructions issued by the FDA, recalling firm, retailer or product manufacturer. For drugs and medical devices, decisions about treatment or medical care should be discussed with a qualified health professional.

About this record

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