| | Class 2 Device Recall da Vinci S, Si Grasping Retractor Instrument |  |
| Date Initiated by Firm | December 09, 2025 |
| Date Posted | March 30, 2026 |
| Recall Status1 |
Open3, Classified |
| Recall Number | Z-1699-2026 |
| Recall Event ID |
98383 |
| 510(K)Number | K050369 |
| Product Classification |
System, surgical, computer controlled instrument - Product Code NAY
|
| Product | Brand Name: da Vinci S, Si Grasping Retractor Instrument
Product Name: da Vinci S, Si Grasping Retractor Instrument
Model/Catalog Number: 420278
Software Version: NA
Product Description: EndoWrist Instruments or Da Vinci S/Si Reusable instruments, including blunt and sharp endoscopic dissectors, scissors, scalpels, forceps/pick-ups, needle holders, endoscopic retractors, electrocautery and accessories are intended for endoscopic manipulation of tissue, including grasping, cutting, blunt and sharp dissection, approximation, ligation, electrocautery, suturing, and delivery and placement of microwave and cryogenic ablation probes and accessories. Please refer to attached User Manual for additional details on intended use.
All da Vinci S/Si reusable instruments with jaws use mechanical tungsten cables and pulleys to transmit motion from the input discs to the housing (on the proximal chassis), through the main shaft, and the distal instrument tip (inside the patient).
Component: NA |
| Code Information |
Lot Code: 420278: Grasping Retractor
GTIN: 00886874111772
FDA Medical Device Listing Number: D088920
Material Number: 420278-04
Batch / System Numbers:
M10110613 SH1182
M10120127 SH1182
M10120217 SH1182
M10120829 SH1182
M10130103 SH1182
M10130114 SH1182
M11130404 SH1182
M10130527 SH1182
M10130606 SH1182
M10130909 SH1182
M10130925 SH1182
S10101229 SG704
S10110105 SG704
M10121214 SH0547
M10110118 SH0059
M10110613 SH0059
S10110819 SH0059
M10121122 SH0059
M10121214 SH0059
M10130114 SH0059
M10130220 SH0059
M10130319 SH0059
M11130404 SH0059
M10120912 SH1390
M10130730 USG721
M10130909 USG721
M10110307 SH0729
M10130214 SH0729
M11130404 SH0729
M10130617 SH0729
M10130628 SH0729
M10120127 SH1076
M10130307 SH1279
M10111028 SH0761
Material Number: 420278-06
Batch / System Numbers:
M10140115 SH1182
N10140725 SH1182
N10140923 SH1182
N10150324 SH1182
N10150417 SH1182
N10150721 SH1182
N10150608 SH1182
N10150820 SH1182
N10151113 SH1182
N10151214 SH1182
N10151029 SH1182
N10160304 SH1182
N10151201 SH1182
N10141205 SH1182
N10160921 SH1182
N10161123 SH1182
N10170516 SH1182
N10170601 SH1182
N10170921 SH1182
N10171213 SH1182
N10171226 SH1182
N10180417 SH1182
N10140815 SG704
N10150210 SG704
N10150608 SG704
N10160203 SG704
N10170117 SG704
N10170921 SG704
N10170822 SG704
N10171002 SG704
N10171226 SG704
M10140306 SH0059
N10141205 SH0059
N10150605 SH0059
N10170213 SH0059
N10171213 SH0059
N10171117 SH1964
N10180417 SH1964
N10170310 USG294
M10140306 USG721
M10140319 USG721
N10170412 USG721
N10180117 USG721
N10150224 SH1378
N10160203 SH1378
M10140306 SH0729
N10140828 SH0729
N10150330 SH0729
N10150319 SH0729
N10150525 SH0729
N10151020 SH0729
N10160503 SH0729
N10160524 SH0729
N10180417 SH0729
N10141001 SH1076
N10141030 SH1076
N10151211 SH1604
N10160524 SH1604
N10160801 SH1604
N10160921 SH1604
N10171226 SH1604
N10160921 SH1385
N10161010 SH1385
N10161114 SH1385
N10171117 SH1385
Material Number: 420278-07
Batch / System Numbers:
N10181219 SH1182
N10180906 SH1182
N10190423 SH1182
N10181114 SH1182
N10180906 SG704
N10180910 USG721
N10181114 SH1604
Material Number: 420278-09
Batch / System Numbers:
N10190826 SH1182
N10190515 SH1182
N10190909 SH1182
N10190902 SH1964
N10190826 SH1964
N10190515 SH1964
N10190909 SH1964
N10190826 USG721
N10190902 SH1604
|
| FEI Number |
3001675293
|
Recalling Firm/ Manufacturer |
Intuitive Surgical, Inc. 1266 Kifer Rd Sunnyvale CA 94086-5304
|
| For Additional Information Contact | Shahbaz Khan 1-408-5232443 |
Manufacturer Reason for Recall | Due to increased complaints for broken/frayed grip cables for reusable instruments. |
FDA Determined Cause 2 | Process control |
| Action | On 12/29/2025, the firm sent via email an "Urgent: Medical Device Recall" Letter informing customers that intuitive has become aware of an increase in complaints regarding frayed or broken cables on some da Vinci S and Si reusable instruments.
Customers are instruct to:
1. Complete the attached Acknowledgement Form immediately and return it via fax or email to Intuitive as instructed on the form.
2. Identify and quarantine any affected product(s). Affected product(s) listed above may be returned by sending an email with quantities and lot numbers to your regional customer service.
3. Ensure to include the FSCA number ISIFA2025-15-R in the return notes.
4. Credit will be provided based on the number of remaining lives.
5. Shared or further distributed these products with other sites, make sure appropriate staff at the site receive and understand this notification so they locate and return their affected product.
For questions or concern, contact Clinical Sales Representative or contact Intuitive Customer Service at the numbers listed below:
" North and South America: (800) 876-1310, Option 3 (4 am to 5 pm PST) or mail: customerservice@intusurg.com.
" Europe, Middle East, Asia and Africa: +800 0821 2020 or +41 21 821 2020 (8 am to 6 pm CET) or eucs@intusurg.com
" South Korea: 02-3271-3200 (9 am to 6 pm KSTJ) or support.korea@intusurg.com
" Japan: 0120-56-5635 or 03-5575-1362 (9 am to 6 pm JST) or csjapan@intusurg.com
" India: +1-800-103-6952 (9 am to 6 pm IT)
" Taiwan: +0800-86-8181 (9 am to 6 pm CT) |
| Quantity in Commerce | 2660 |
| Distribution | Worldwide - U.S. Nationwide distribution in the states of CA, FL, GA, IA, IL, IN, KS, KY, LA, MA, MO, MS, NC, NJ, NY, OH, PA, TX, VA and WI. The countries of Argentina, Brazil, Canada, Chile, China, Cyprus, Czech Republic, Ecuador, France, Germany, Greece, Guadeloupe, India, Indonesia, Italy, Japan, Kuwait, Lebanon, Malaysia, Mexico, Pakistan, Philippines, Portugal, Qatar, Romania, Russian Federation, Saudi Arabia, South Korea, Switzerland, Taiwan, Thailand, Turkey, United Arab Emirates, United Kingdom, Uruguay, Venezuela, and Vietnam. |
| Total Product Life Cycle | TPLC Device Report |
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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 The manufacturer has initiated the recall and not all products have been corrected or removed. This record will be updated as the status changes.
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| 510(K) Database | 510(K)s with Product Code = NAY
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