Single-Site 478090Recalls & reported problems
Intuitive Surgical, Inc. · PERMANENT CAUTERY HOOK · Class 2
Quick summary
This Intuitive Surgical Single Site permanent cautery hook is a powered surgical instrument used during robot-assisted surgery to burn (cauterize) tissue. Most of the 72 reports describe the hook breaking, bending, or its tip and shaft coming apart, sometimes with the outer covering peeling or the material tearing, which left the instrument unusable mid-procedure; a few mention fragments or the device left in the patient. Twelve reports involve injuries and there are no deaths. No recalls name this device.
AI-generated from the FDA records on this page and checked automatically against the numbers below. Read the details before relying on it.
- Adverse event reports
- 72
- Deaths reported
- 0
- Injuries reported
- 12
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 72 adverse event reports that list this exact device (DI 00886874113721), received between May 8, 2019 and Jul 27, 2026 — classified as 12 injuries, 60 malfunctions.
The most frequently reported specific device problem is “Detachment of Device or Device Component” (28 reports).
Reports come from manufacturers, hospitals and patients and are not verified by the FDA. A report does not prove the device caused the event, and counts can't be used to compare devices or estimate failure rates. How this data works · Data updated Oct 13, 2026.
Reports received per month
Most reported problems
Device problems
- Detachment of Device or Device Component28
- Break27
- Material Split, Cut or Torn5
- Material Fragmentation3
- Material Integrity Problem3
- Energy Output Problem2
- Thermal Decomposition of Device2
- Arcing1
Patient problems
- No Clinical Signs, Symptoms or Conditions54
- Insufficient Information13
- Foreign Body In Patient3
- No Known Impact Or Consequence To Patient2
- Device Embedded In Tissue or Plaque1
Recent adverse event reports
The 25 most recent of 72 reports, in the reporter's own words as published by the FDA.
MalfunctionJul 27, 2026Detachment of Device or Device Component
Patient problems: Insufficient Information
MAUDE report 50016102 ↗MalfunctionApr 3, 2026Detachment of Device or Device Component
IT WAS REPORTED THAT DURING A DA VINCI-ASSISTED SURGICAL PROCEDURE THAT THE TIP AND THE TUBE OF THE SINGLE SITE PERMANENT CAUTERY HOOK (PCH) INSTRUMENT BECAME BENT AND SEPARATED, RENDERING IT UNUSABLE. THERE WERE NO REPORTS OF FRAGMENTS FALLING INTO THE PATIENT. THE PROCEDURE WAS COMPLETED WITH NO REPORTS OF PATIENT INJURY.
Patient problems: Insufficient Information
MAUDE report 24783612 ↗MalfunctionApr 1, 2026Break
IT WAS REPORTED THAT DURING A DA VINCI-ASSISTED SURGICAL PROCEDURE, THE PERMANENT CAUTERY HOOK INSTRUMENT COVER WAS PEELING OFF. THE PROCEDURE WAS COMPLETED AS PLANNED. INTUITIVE FOLLOWED UP AND OBTAINED ADDITIONAL INFORMATION. THE PEELED COVERINGS OF THE PERMANENT CAUTERY HOOK WERE NOT EXPOSED. NO ARCING. THERE WERE NO SIGNS OF THERMAL DAMAGE AT SITE OF THE BREAKAGE. THE TIP SEPARATED, MAKING CAUTERY FUNCTION IMPOSSIBLE. THERE WAS NO INJURY. IT WAS REPORTED THAT WHILE THE DEVICE WAS CAUTERIZING THE TISSUE, THERE WERE COATING PEELING. THERE WAS NO SEPARATION, BUT THE TIP APPEARED TO WEAKEN, EXHIBITING A MOVEMENT SIMILAR TO WOBBLING. ULTIMATELY, THE TIP DETACHED WHILE REMOVING THE INSTRUMENT FROM THE 5X250 CANNULA, RENDERING IT UNUSABLE.
Patient problems: Insufficient Information
MAUDE report 24750914 ↗MalfunctionMar 17, 2026Break
REFER TO H11 FOR FOLLOW-UP INFORMATION.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 24622066 ↗InjuryMar 3, 2026Detachment of Device or Device Component
REFER TO H11 FOR FOLLOW-UP INFORMATION.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 24495771 ↗InjuryFeb 23, 2026Detachment of Device or Device Component
REFER TO H11 FOR FOLLOW-UP INFORMATION.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 24424438 ↗MalfunctionFeb 18, 2026Detachment of Device or Device Component
IT WAS REPORTED THAT DURING DA VINCI-ASSISTED SURGICAL PROCEDURE, THE TIP OF PERMANENT CAUTERY HOOK INSTRUMENT DETACHED. THE PROCEDURE WAS COMPLETED WITH NO REPORTED INJURY.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 24382851 ↗MalfunctionJan 22, 2026Break
REFER TO H11 FOR FOLLOW-UP INFORMATION.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 24154339 ↗MalfunctionJan 13, 2026Detachment of Device or Device Component
REFER TO H11 FOR FOLLOW-UP INFORMATION.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 24050495 ↗MalfunctionJan 8, 2026Detachment of Device or Device Component
REFER TO H11 FOR FOLLOW-UP INFORMATION.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 24000485 ↗InjuryJan 7, 2026Material Fragmentation
REFER TO H11 FOR FOLLOW-UP INFORMATION.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 23995483 ↗MalfunctionDec 27, 2025Break; Break
IT WAS REPORTED THAT DURING A DA VINCI-ASSISTED MYOMECTOMY SURGICAL PROCEDURE, THE SINGLE SITE PERMANENT CAUTERY HOOK (PCH) INSTRUMENT WAS OBSERVED TO HAVE A BROKEN TIP. THERE WERE NO REPORT OF DETACHMENT AND NO REPORT OF FRAGMENT(S) FALLING INSIDE THE PATIENT. THE PROCEDURE WAS COMPLETED BUT THE PATIENT OUTCOME WAS NOT PROVIDED.
Patient problems: Insufficient Information
MAUDE report 23901420 ↗MalfunctionDec 22, 2025Break; Break
IT WAS REPORTED THAT DURING A DA VINCI-ASSISTED MYOMECTOMY SURGICAL PROCEDURE, PERMANENT CAUTERY HOOK (PCH) INSTRUMENT TIP WAS BROKEN. THE CUSTOMER USED A BACKUP INSTRUMENT TO CONTINUE WITH THE PROCEDURE. NO FRAGMENTS FELL INSIDE THE PATIENT. THE PROCEDURE WAS COMPLETING AS PLANNED WITH NO REPORTED INJURY. INTUITIVE FOLLOWED UP WITH THE NURSE AND OBTAINED THE FOLLOWING ADDITIONAL INFORMATION: THE TIP OF THE PCH WAS NOT DETACHED OR BROKEN OFF.
Patient problems: Insufficient Information
MAUDE report 23872954 ↗MalfunctionDec 22, 2025Break; Break
IT WAS REPORTED THAT DURING A DA VINCI-ASSISTED SURGICAL PROCEDURE, THE TIP OF PERMANENT CAUTERY HOOK (PCH) INSTRUMENT WAS SEPARATED DURING USE. THE USER CONTINUED AND COMPLETED THE PROCEDURE AS PLANNED. NO FRAGMENT FELL INTO THE PATIENT. NO KNOWN IMPACT OR PATIENT CONSEQUENCE WAS REPORTED. INTUITIVE SURGICAL, INC. (ISI) FOLLOWED UP WITH THE INITIAL REPORTER AND OBTAINED ADDITIONAL INFORMATION: THE REPORTER CONFIRMED THAT NOTHING WAS MISSING FROM THE INSTRUMENT'S TIP AND NO FRAGMENT THAT FELL INTO THE PATIENT. THERE WAS NO PATIENT INJURY. THE INSTRUMENT DID NOT COLLIDE WITH ANY OTHER INSTRUMENTS OR HARD MATERIALS DURING THE PROCEDURE.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 23872851 ↗MalfunctionDec 16, 2025Break; Break
REFER TO H11 FOR FOLLOW-UP INFORMATION.
Patient problems: Insufficient Information
MAUDE report 23822944 ↗MalfunctionDec 16, 2025Material Split, Cut or Torn; Material Split, Cut or Torn
REFER TO H11 FOR FOLLOW-UP INFORMATION.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 23822696 ↗MalfunctionDec 16, 2025No Apparent Adverse Event; No Apparent Adverse Event
REFER TO H11 FOR FOLLOW-UP INFORMATION.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 23813378 ↗MalfunctionDec 3, 2025Material Split, Cut or Torn; Material Split, Cut or Torn
REFER TO H11 FOR FOLLOW-UP INFORMATION.
Patient problems: Insufficient Information
MAUDE report 23701740 ↗MalfunctionNov 19, 2025Break; Break
IT WAS REPORTED THAT DURING A DA VINCI-ASSISTED MYOMECTOMY SURGICAL PROCEDURE, THE TIP OF THE PERMANENT CAUTERY HOOK INSTRUMENT BECAME SEPARATED WHILE MAKING AN INCISION IN THE UTERUS. THERE WAS NO REPORT OF FRAGMENT(S) FALLING INSIDE THE PATIENT. THE PROCEDURE WAS COMPLETED WITH A BACKUP INSTRUMENT OF SAME KIND. NO KNOWN IMPACT OR PATIENT CONSEQUENCE WAS REPORTED. INTUITIVE SURGICAL, INC. (ISI) FOLLOWED UP WITH THE INITIAL REPORTER AND OBTAINED THE FOLLOWING ADDITIONAL INFORMATION: THE CUSTOMER INDICATED THAT THERE WAS NO PIECE OR MATERIAL MISSING AT THE DISTAL END OF THE INSTRUMENT. NO FRAGMENT FELL INSIDE THE PATIENT¿S ANATOMY, AND PHOTOGRAPHIC IMAGES OR VIDEO RECORDINGS OF THE DEVICE(S) OR PROCEDURE WERE NOT AVAILABLE FOR ISI REVIEW.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 23590747 ↗MalfunctionOct 22, 2025Break; Break
IT WAS REPORTED THAT DURING A DA VINCI-ASSISTED SURGICAL PROCEDURE THAT THE SINGLE SITE PERMANENT CAUTERY HOOK BROKE AT THE SHAFT NEAR THE TIP, EXPOSING THE WIRE. THE PROCEDURE WAS COMPLETED WITH A BACKUP INSTRUMENT, WITH NO REPORTS OF PATIENT INJURY.
Patient problems: Insufficient Information
MAUDE report 23354857 ↗MalfunctionSep 12, 2025Energy Output Problem; Energy Output Problem
IT WAS REPORTED THAT DURING A DA VINCI-ASSISTED OVARIAN CYSTECTOMY SURGICAL PROCEDURE, THE SINGLE SITE PERMANENT CAUTERY HOOK INSTRUMENT (PCH) WAS FOUND TO HAVE DEFECT CAUTERY FUNCTION. THE PROCEDURE WAS COMPLETED WITH NO REPORTED PATIENT INJURY.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 23043766 ↗MalfunctionAug 29, 2025Break; Break
IT WAS REPORTED THAT DURING DA VINCI-ASSISTED SURGICAL PROCEDURE, THE TIP PART OF PERMANENT CAUTERY HOOK INSTRUMENT WAS NOTED TO BE BENT AND UPON CHECKING, IT WAS FOUND THAT THE TIP PART WAS SEPARATED. THE PROCEDURE WAS COMPLETED WITH NO REPORTED INJURY.
Patient problems: Insufficient Information
MAUDE report 22929009 ↗MalfunctionAug 1, 2025Break; Break
IT WAS REPORTED THAT DURING CENTRAL PROCESSING, USER NOTICED THAT THE PLASTIC PART WRAPPING THE HOOK TIP WAS BROKEN AFTER 3 USES. THERE WAS NO REPORT OF PATIENT INVOLVEMENT OR PATIENT INJURY. INTUITIVE SURGICAL, INC. (ISI) FOLLOWED UP WITH THE INITIAL REPORTER AND OBTAINED ADDITIONAL INFORMATION: THE REPORTER CONFIRMED THAT THE STATEMENT "PLASTIC PART WRAPPING AROUND THE INSTRUMENT'S TIP" REFERRED TO THE WHITE DISTAL TIP. THE ISSUE OF DAMAGED CONDUCTOR WIRE WAS IDENTIFIED DURING INSPECTION PRIOR TO STERILIZATION PACKAGING, AFTER BEING DISPENSED FROM THE WASHER. DURING THE REPROCESSING OF THE INSTRUMENT, NO DAMAGE WAS FOUND DURING THE INITIAL INSPECTION BEFORE PRELIMINARY CLEANING, BUT IT WAS NOT CHECKED AFTER PRELIMINARY CLEANING AND BEFORE BEING PLACED IN THE WASHER, SUGGESTING THAT THE DAMAGE MIGHT HAVE OCCURRED DURING PRELIMINARY CLEANING OR THE WASHING PROCESS. THE WHITE TIP WAS CONFIRMED TO HAVE BROKEN OFF AND DETACHED FROM THE INSTRUMENT. DURING THE LAST USE IN SURGERY, THE INSTRUMENT WAS INSPECTED BEFORE USE, AND NO DAMAGE OR ANYTHING OUT OF THE ORDINARY WAS NOTED. NO FRAGMENT FELL INTO THE PATIENT, AND THUS NO RETRIEVAL OR ADDITIONAL SURGICAL PROCEDURE WAS REQUIRED. NO POST
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 22684139 ↗MalfunctionJul 10, 2025Break; Break
IT WAS REPORTED THAT DURING A DA VINCI-ASSISTED SURGICAL PROCEDURE, THE PERMANENT CAUTERY HOOK INSTRUMENT HAD PHYSICAL DAMAGE WITH BLACK PLASTIC PART OF THE TIP BROKEN. THE PROCEDURE WAS COMPLETED. INTUITIVE SURGICAL, INC. (ISI) FOLLOWED UP WITH THE INITIAL REPORTER AND OBTAINED THE FOLLOWING ADDITIONAL INFORMATION: THE CUSTOMER NOTED THE SHAFT WAS DAMAGED. THE INSTRUMENT WAS INSPECTED PRIOR TO USE AND IT DID NOT COLLIDE WITH ANY OTHER INSTRUMENT OR TOOL DURING PROCEDURE. THE INCIDENT DID NOT INVOLVE A FRAGMENT FALLING INSIDE PATIENT ANATOMY WITH NO PATIENT INJURY. PHOTOGRAPHIC IMAGES OF THE DEVICE(S) WAS ATTACHED FOR ISI TO REVIEW.
Patient problems: Insufficient Information
MAUDE report 22474885 ↗MalfunctionJul 3, 2025Break; Break
IT WAS REPORTED THAT DURING A DA VINCI-ASSISTED MYOMECTOMY SURGICAL PROCEDURE, THE TIP OF THE 8MM PERMANENT CAUTERY HOOK INSTRUMENT WAS BROKEN. THE INSTRUMENT WAS REMOVED AND REPLACED WITH A BACKUP. FOLLOWING THIS, THE USER CONTINUED AND COMPLETED THE PROCEDURE WITH NO FURTHER ISSUES. NO FRAGMENT FELL INTO THE PATIENT. NO KNOWN IMPACT OR PATIENT CONSEQUENCE WAS REPORTED. INTUITIVE SURGICAL, INC. (ISI) FOLLOWED UP WITH THE INITIAL REPORTER AND OBTAINED ADDITIONAL INFORMATION: THE USER CONFIRMED THAT THE TIP WAS BROKEN BUT NOT DETACHED. NO FRAGMENT FELL INTO THE PATIENT AND THERE WAS NO PATIENT INJURY. THERE WAS NO POST-OPERATIVE TESTS PERFORMED. THERE WAS NO REPORT OF POST-SURGICAL COMPLICATIONS AND THE PATIENT HAS NOT RETURNED TO THE HOSPITAL. THE INSTRUMENT DID NOT COLLIDE WITH ANY OTHER INSTRUMENTS OR HARD MATERIALS DURING THE PROCEDURE. NO IMAGES OR VIDEOS ARE AVAILABLE FOR ISI REVIEW. THE REPORTER WAS UNABLE TO DISCLOSE THE PATIENT DEMOGRAPHIC INFORMATION.
Patient problems: Insufficient Information
MAUDE report 22392072 ↗
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Sources: FDA GUDID, MAUDE and Medical Device Recalls via openFDA. openFDA data is not validated for clinical or regulatory use.