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U.S. Department of Health and Human Services

Class 2 Device Recall da Vinci Dual Camera Controller

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  Class 2 Device Recall da Vinci Dual Camera Controller see related information
Date Initiated by Firm June 08, 2013
Date Posted July 11, 2013
Recall Status1 Terminated 3 on January 22, 2014
Recall Number Z-1688-2013
Recall Event ID 65590
510(K)Number K101077  
Product Classification System,surgical,computer controlled instrument - Product Code NAY
Product da Vinci Dual Camera Controller, model number DC3000;

Manufactured by Intuitive Surgical, Sunnyvale, CA 94086.

Intuitive Surgical endoscopic Instrument Control System is intended to assist in the accurate control of Intuitive Surgical Endoscopic instruments. It is intended for adult and pediatric use.
Code Information Part number 372019-01: Serial numbers:  323943 323895 323882 323945 323994 323804 323979 323987 324042 324086. 
Recalling Firm/
Intuitive Surgical, Inc.
1266 Kifer Rd Bldg 100
Sunnyvale CA 94086-5304
For Additional Information Contact Richard Reeves
Manufacturer Reason
for Recall
Factory testing on da Vinci Si Surgical Systems may not be in compliance with UL Standards as one of the testing devices was found to be working incorrectly.
FDA Determined
Cause 2
Software design
Action Intuitive Surgical sent an Urgent Device Correction notice dated July 15, 2013, to all affected customers by Federal Express.The letter identified the product, the problem, and the action to be taken by the customer. Customers were instructed to ensure that all affected personnel were fully informed of the notification and that the notification should be forwarded to other managers within their facility. Customers were also instructed to complete and return the attached Acknowledgment Form to acknowledge receipt of the notification. Customers with questions were instructed to call Customer Service at 800-876-1310, Option 3. For questions regarding this recall call 408-523-2244.
Quantity in Commerce 30 total, all devices
Distribution Worldwide Distribution - USA including UT, CA, AZ, CO, FL, HI. MT, NY,TX and WA and one customer in Russia.
Total Product Life Cycle TPLC Device Report

1 A record in this database is created when a firm initiates a correction or removal action. The record is updated if the FDA identifies a violation and classifies the action as a recall, and it is updated for a final time when the recall is terminated. Learn more about medical device recalls.
2 Per FDA policy, recall cause determinations are subject to modification up to the point of termination of the recall.
3 For details about termination of a recall see Code of Federal Regulations (CFR) Title 21 §7.55.
510(K) Database 510(K)s with Product Code = NAY and Original Applicant = INTUITIVE SURGICAL, INC.