RecallDepth

The da Vinci Xi Surgical System (IS4000) Model Name: IS4000, Endoscope Controller. Model Number: 372601-16.

Company
Intuitive Surgical, Inc.
Recall Initiated
May 17, 2018
Recall Number
Z-2835-2018
Quantity
1
Firm Location
Sunnyvale, CA

Reason for Recall

An Endoscope Controller has been improperly calibrated during manufacturing. This improper calibration may result in the Endoscope Controller showing surgical images that are dimmer, have color imbalance or have reduced fluorescence and grayscale when using Firefly. There is also potential for increased fogging of the endoscope.

Distribution

U.S.

Lot / Code Info

UDI Number: 00886874114193. Serial Number: SK1703.

Root Cause

Use error

Action Taken

Intuitive Surgical notified customers via a "Field Safety Notice Urgent Medical Device Correction ISIFA2018-06-C da Vinci Xi Miscalibrated Endoscope Controller" letter. The letter provided: Reason for Field Action, Risk to Health, Affected Products (description, part number, serial number), Action taken by Intuitive Surgical, Actions to be taken by the Customer/ User, contact information for Further Information & Support, and an Acknowledgement Form.

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