Brand Name | DA VINCI ROBOT |
Type of Device | SYSTEM, SURGICAL, COMPUTER CONTROLLED INSTRUMENT |
Manufacturer (Section D) |
|
MDR Report Key | 9637211 |
MDR Text Key | 176810612 |
Report Number | MW5092558 |
Device Sequence Number | 1 |
Product Code |
NAY
|
Combination Product (y/n) | N |
Reporter Country Code | US |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Voluntary
|
Reporter Occupation |
Patient
|
Type of Report
| Initial |
Report Date |
01/23/2020 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 01/27/2020 |
Is this an Adverse Event Report? |
Yes
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
No Information
|
Was Device Available for Evaluation? |
No
|
Was Device Evaluated by Manufacturer? |
No Information
|
Type of Device Usage |
N
|
Patient Sequence Number | 1 |
Patient Outcome(s) |
Hospitalization;
Life Threatening;
Other;
Required Intervention;
|
Patient Age | 30 YR |
Patient Weight | 68 |
|
|