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Recall Observatory FDA recall evidence

Device product

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.

Z-0283-2021

June 17, 2019

Class II

Product summary

Firm
Intuitive Surgical, Inc.
Event
Event 84963
Status
Terminated
Classification
Class II
Quantity
1 system
Official record key
device-enforcement:Z-0283-2021

Official wording

Reason: 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.

Code information: IS4000 Endoscope Controller, Serial Number: 432242 installed on the da Vinci Surgical System, Serial Number: SK2137

Distribution pattern: US Nationwide distribution including in the state of Washington.

Derived failure modes

  • Unknown

    reason.no_named_rule · v1.0.0

    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.