da Vinci Xi Surgical System
FDA Recall Z-1960-2020 · Posted None
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Recalling FirmIntuitive Surgical, Inc.
Recall StatusTerminated
Product CodeNAY
Date Initiated2018-11-21
Date Terminated2022-05-31
Product Quantity74 USMs containing affected rotors.
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.
Firm 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
Root Cause
Process control
Distribution Pattern
U.S.: CA, MD, NY, VA, IL, MI, DE, TX, FL, NJ, MA, KY and OH. O.U.S.: Australia, France, Germany and Japan.
Official Source
View FDA Recall →Source: FDA Enforcement Report / Recall database. Always confirm against the official FDA record.
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