Intuitive surgical, inc.(isi) received the endowrist sp camera involved with this complaint and completed the device evaluation.Failure analysis confirmed the reported complaint of there being no picture.The camera was placed on the in-house system and failed the quality assurance procedure test.The failure happened during initialization, and there was no image on both eyes.The failure analysis engineer reviewed pc trace and error logs.The cause of the failure was found to be due to low current reading in the printed circuit assembly board (likely due to a short).The low and high current reading were below specification, which resulted in error 48225, shown in the error log.Residual soil was found on the distal fibers of the camera.Additionally, the fibers were observed under a microscope and were found with a missing fragment of epoxy layer.Due to the transparency of the layer, it is difficult to determine the size of missing fragment.A log review was performed as part of the failure analysis investigations and related errors were identified.No image or video was provided for review.No other complaints related to this event were reported, based on the information provided at this time, this complaint is being reported due to the following: if an endoscope with a compromised epoxy layer is used on the patient, epoxy fragments could fall inside the patient.The endowrist sp camera's distal tip was re-inspected and determined to have a piece of epoxy layer missing over the distal end fibers.At this time, it is unknown when the epoxy fragment(s) may have fallen.Follow-up was attempted, but the patient information was either unknown or unavailable.The expiration date is not applicable.
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It was reported that the single port camera had no picture.There was no reported injury to the patient.There was no reports of fragment(s) falling inside the patient, patient harm, adverse outcome or injury.Intuitive surgical, inc.(isi) contacted the customer and obtained the following information: the issue was discovered prior to starting and the procedure was completed.The customer was not able to provide any patient information.
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