Skip to content
Recall Observatory FDA recall evidence

Device product

da Vinci SP Instrument Arm Drape. REF 430013-12 QTY 1 Pouch

Z-1906-2020

October 25, 2018

Class II

Product summary

Firm
Intuitive Surgical, Inc.
Event
Event 83503
Status
Terminated
Classification
Class II
Quantity
1818 pouches
Official record key
device-enforcement:Z-1906-2020

Official wording

Reason: The instrument drape may tear while draping the Patient Side Cart presenting a breach in the sterile barrier.

Code information: Model Number: 430013-12 UDI Number: 00886874113486 Lot Numbers: All Lots

Distribution pattern: Updated information provided on 03/18/2020: FL, OH, TN, NJ, PA, MD, NY, CA, MN, NV, OR, HI, VA, TX, AL, CA, IL, CN, and NC. OUS: APAC (Asia Pacific) - South Korea

Derived failure modes

  • Sterility assurance

    reason.sterility_assurance · v1.0.0

    breach in the sterile barrier