ClearanceBrief
Recall Z-0999-2022 ยท NAY System, Surgical, Computer Controlled Instrument

Intuitive Surgical, Inc.

da Vinici X da Vinci Xi Sureform 45 REF 480445 da Vinci X da Vinci Xi Sureform 45 Curved-Tip REF 480545 da Vinici X da Vinci Xi Sureform 60 REF 480460

DateApr 22, 2022 (initiated Mar 17, 2022)
StatusOpen, Classified
ReasonAs a result of complaint data review, it identified tissue pushout events occurring during firing of the SureForm stapler when tissue is pushed distally within the jaws, rather than being held in place and transected. Overall rate of harm associated with bleeding of critical severity exceeds the predicted likelihood of harm as documented within Intuitive s existing risk documentation.
Root causeUnder Investigation by firm
ActionOn 03/17/2022, the firm sent an Urgent Medical Device Correction letter informing customers of a potential for injury associated with the stapler instruments if target tissue fails to remain in place with the jaws of the stapler during the stapler firing sequence. This phenomenon is referred to as a tissue pushout event. As the staple firing sequence progresses, the target tissue is transected but the target tissue is not approximated due to lack of staple engagement with the tissue. This type of event may result in un-approximated tissue and occurs when attempting to cross over existing stapl
Quantity6,8881 boxes (or 413,286 individual units/6 instruments/box)
DistributionWorldwide distribution - U.S. Nationwide distribution in the states of AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, Puerto Rico, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, and WY. The coun
FDA recordOpen on fda.gov

510(k) clearances named in this recall

K173721SureForm 60 and SureForm 60 Reloads
Intuitive Surgical, Jul 5, 2018
K183224SureForm 45, SureForm 45 Reloads
Intuitive Surgical, Jan 18, 2019
K190999SureForm 45 Curved Tip, SureForm 45 Gray Reload
Intuitive Surgical, Inc., Jul 12, 2019