{
  "meta": {
    "disclaimer": "Do not rely on openFDA to make decisions regarding medical care. While we make every effort to ensure that data is accurate, you should assume all results are unvalidated. We may limit or otherwise restrict your access to the API in line with our Terms of Service.",
    "terms": "https://open.fda.gov/terms/",
    "license": "https://open.fda.gov/license/",
    "last_updated": "2026-09-08",
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            "No Clinical Signs, Symptoms or Conditions"
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      "distributor_state": "",
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      "manufacturer_g1_country": "US",
      "manufacturer_contact_city": "SANTA CLARA",
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          "mdr_text_key": "365638577",
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        },
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          "mdr_text_key": "365638578",
          "text_type_code": "Additional Manufacturer Narrative",
          "patient_sequence_number": "0",
          "text": "INTUITIVE SURGICAL, INC. (ISI) HAS NOT RECEIVED THE SYNCHROSEAL INSTRUMENT FOR FAILURE ANALYSIS EVALUATION."
        }
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      "suppl_dates_fda_received": ""
    }
  ]
}