_Incident · Recall_

# da Vinci Hot Shears (monopolar curved scissors) Class I recall: insulation micro-cracks caused tissue burns

Canonical ID: `4c353777-3f5f-4afa-82ed-7ebcef5d6b65`

- **Occurred:** 2013-05-08
- **Kind:** `recall`
- **Status (derived):** active
- **Model:** [da Vinci (and Ion)](/models/intuitive-da-vinci.md) (id: `45105ba4-1c1f-4121-9ad4-bb912db1dcfc`)

Class I recall (Urgent Medical Device Notification May 8 2013): micro-cracks near the distal shaft on '-09'/'-10' versions of the EndoWrist Hot Shears develop after cleaning/sterilization, creating an arc path for monopolar energy to leak and burn tissue outside the surgical field (134 tip-cover complaints + 82 MDRs, Jan 2010-Dec 2011). Instrument versions corrected/superseded. The load-bearing historical da Vinci safety event.

## Sources (2)

1. **Medscape** · https://www.medscape.com/viewarticle/804067
2. **YouHaveALawyer** · https://www.youhavealawyer.com/blog/2013/05/13/da-vinci-robot-recall/

## Common questions

### What happened in da Vinci Hot Shears (monopolar curved scissors) Class I recall: insulation micro-cracks caused tissue burns?

Class I recall (Urgent Medical Device Notification May 8 2013): micro-cracks near the distal shaft on '-09'/'-10' versions of the EndoWrist Hot Shears develop after cleaning/sterilization, creating an arc path for monopolar energy to leak and burn tissue outside the surgical field (134 tip-cover complaints + 82 MDRs, Jan 2010-Dec 2011). Instrument versions corrected/superseded. The load-bearing historical da Vinci safety event.

### When did this incident occur?

The incident is recorded as occurring on May 8, 2013 on the DEPLOY registry. The date reflects the underlying real-world event, not the registry record's creation date.

### What robot was involved in da Vinci Hot Shears (monopolar curved scissors) Class I recall: insulation micro-cracks caused tissue burns?

da Vinci (and Ion) is the recorded robot involved in this incident.

### Has anyone responded to da Vinci Hot Shears (monopolar curved scissors) Class I recall: insulation micro-cracks caused tissue burns?

No responses to this incident are recorded on the DEPLOY registry. Operators, manufacturers, or affected parties can submit responses to the editorial team; absence is not a guarantee no response was issued.

### What is the current status of da Vinci Hot Shears (monopolar curved scissors) Class I recall: insulation micro-cracks caused tissue burns?

This incident is an active record on the DEPLOY registry; no retraction or correction has been issued.


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