da Vinci SP surgical system

FDA device recall Z-2260-2020 · posted 2020-06-03 · Terminated

Recall details

Recalling firm

Intuitive Surgical, Inc.

Reason for recall

Intuitive has become aware that the da Vinci SP system may trigger a mechanical vibration of the instrument tips and endoscope due to a software anomaly. This issue has the potential to occur only under the following, extremely rare specific conditions: 1) the user is activating Adjust Mode, AND 2) the instrument Arm is near its vertical position limit, AND 3) the user is applying sustained force against the hand control haptic feedback.

Action taken

The firm sent a letter to consignees on April 1, 2020 stating that an Intuitive representative will schedule a site visit to provide a software update as soon as possible. Firm representatives will be available by phone to answer any questions related to this Medical Device Correction. Actions taken by the customer are to: Inform all personnel who are involved with the affected device at your site of the following instructions: 1.If vibrations are sensed at the instrument and/or endoscope tips in Adjust Mode and the instrument arm is near its vertical limit: a.Cease applying sustained force against the hand control haptic feedback, b.Exit Adjust Mode by releasing the Endoscope Control pedal c.Exit following mode by removing your head from the Surgeon Console, or d.Press the Emergency Stop button. Any of these actions will stop the vibration. 2.If mechanical vibration persists, discontinue use of the system and contact Technical Support. 3.Inform affected personnel when the software update has been completed by the Intuitive representative. 4.Complete the attached Acknowledgment Form and return it via fax or email to Intuitive as instructed on the form. 5.Please retain a copy of this letter and the acknowledgment form for your files. Customers with additional questions: North and South America: (800) 876-1310, Option 3 (4 AM to 5 PM PST); South Korea: + 82-02-3271-3200, Opt. 3 (9 AM to 6 PM KSTJ)

Root cause

Software design

Status

Terminated

Product code

NAY

Quantity affected

17

Distribution

U.S.: OH, PN, NY, MN, TN, TX, OR, IL, MD, NJ, AL. O.U.S.: South Korea

Date initiated

2019-04-01

Date posted

2020-06-03

Date terminated

2021-12-16

Location

Sunnyvale, CA

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