FDA Device Recalls

Recalls /

#175509

Product

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

FDA product code
NAYSystem, Surgical, Computer Controlled Instrument
Device class
Class 2
Medical specialty
Gastroenterology, Urology
510(k) numbers
K173906
Affected lot / code info
Model Number: 430013-12 UDI Number: 00886874113486 Lot Numbers: All Lots

Why it was recalled

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

Root cause (FDA determination)

Device Design

Action the firm took

On 10/25/2018, the firm sent an "Urgent Medical Device Correction" Notification Letter to Customers via FedEx (to OUS customers - emailed and hand-delivered) are asked to take actions during draping to avoid snagging the drape during installation and to continue following the instructions in the System User Manual. Representatives will be available by phone to answer questions related to the device correction. Acknowledgement form included with the recall letter is requested to be completed and returned to ISI asking that appropriate personnel be informed about the device correction.

Recalling firm

Firm
Intuitive Surgical, Inc.
Address
1266 Kifer Rd, Bldg 101, Sunnyvale, California 94086-5304

Distribution

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

Timeline

Recall initiated
2018-10-25
Terminated
2024-04-05
Status

Source: openFDA Device Recall endpoint. Recall record ID #175509. The FDA issues recall classifications as health-hazard assessments, not legal findings; for legal claims consult a licensed attorney.