{
  "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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    {
      "manufacturer_contact_zip_ext": "",
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      "report_to_fda": "",
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      "manufacturer_contact_state": "CA",
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      "manufacturer_g1_city": "Santa Clara",
      "manufacturer_contact_address_1": "3410 Central Expressway",
      "manufacturer_contact_pcity": "+1(408)5",
      "event_type": "Injury",
      "report_number": "2955842-2026-35380",
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      "date_received": "20260814",
      "manufacturer_address_2": "",
      "pma_pmn_number": "",
      "date_of_event": "20250426",
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      "manufacturer_contact_l_name": "Nielson",
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        "Literature",
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      "manufacturer_g1_postal_code": "95051",
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      "reporter_country_code": "US",
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      "date_added": "20260814",
      "manufacturer_contact_f_name": "Izabel",
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          "device_sequence_number": "420005",
          "implant_date_year": "",
          "date_removed_year": "",
          "serviced_by_3rd_party_flag": "",
          "date_received": "20260814",
          "brand_name": "da Vinci",
          "generic_name": "da Vinci",
          "manufacturer_d_name": "INTUITIVE SURGICAL, INC",
          "manufacturer_d_address_1": "3410 Central Expressway",
          "manufacturer_d_address_2": "",
          "manufacturer_d_city": "Santa Clara",
          "manufacturer_d_state": "CA",
          "manufacturer_d_zip_code": "95051",
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          "device_evaluated_by_manufacturer": "N",
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          "openfda": {
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            "medical_specialty_description": "Gastroenterology, Urology",
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        }
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      "manufacturer_contact_country": "US",
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      "patient": [
        {
          "patient_sequence_number": "1",
          "date_received": "20260814",
          "sequence_number_treatment": [
            "da Vinci Instruments and Accessories."
          ],
          "sequence_number_outcome": [
            "Other"
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          "patient_age": "65 YR",
          "patient_sex": "Male",
          "patient_weight": "",
          "patient_ethnicity": "",
          "patient_race": "",
          "patient_problems": [
            "Failure to Anastomose",
            "Sepsis"
          ]
        }
      ],
      "distributor_city": "",
      "date_report": "20260722",
      "initial_report_to_fda": "No",
      "distributor_state": "",
      "event_key": "",
      "manufacturer_g1_country": "US",
      "manufacturer_contact_city": "Santa Clara",
      "mdr_report_key": "50257305",
      "removal_correction_number": "N/A",
      "number_devices_in_event": "",
      "date_manufacturer_received": "20260722",
      "manufacturer_name": "",
      "report_source_code": "Manufacturer report",
      "remedial_action": [
        "Other"
      ],
      "manufacturer_g1_zip_code": "95051",
      "report_to_manufacturer": "",
      "manufacturer_zip_code_ext": "",
      "manufacturer_g1_name": "INTUITIVE SURGICAL, INC",
      "adverse_event_flag": "Y",
      "distributor_address_1": "",
      "manufacturer_state": "",
      "distributor_address_2": "",
      "manufacturer_postal_code": "",
      "single_use_flag": "N",
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      "mdr_text": [
        {
          "mdr_text_key": "15976752734",
          "text_type_code": "Additional Manufacturer Narrative",
          "patient_sequence_number": "0",
          "text": "No investigation could be performed as the article did not provide any specific information regarding the procedure date or da Vinci System identifiers. No image(s) and/or video clip(s) associated with this reported event were reviewed.Citation: Fleming, C. A., Geitenbeek, R. T. J., Duhoky, R., Moussion, A., Bouazza, N., Khan, J., Cotte, E., Dubois, A., Rullier, E., Hompes, R., Rouanet, P., Consten, E. C. J., & Denost, Q. (2025). Risk factors and risk prediction modelling for pelvic sepsis and anastomotic leak following robotic total mesorectal excision with primary anastomosis for rectal cancer. Colorectal Disease, 27, e70188. https://doi.org/10.1111/codi.70188.NOTE:Due to the lack of specific information regarding the event date associated with the adverse event, the publication date has been used as the event date.The patient demographics provided represent the demographics of the majority population described in the article.The procedures described in the article were performed using an unspecified da Vinci Surgical System device. There is insufficient information to determine the specific system that was used during the procedures with complications; thus the product is reported as Not Applicable (N/A).BMI Mean: 26.17."
        },
        {
          "mdr_text_key": "15476752733",
          "text_type_code": "Description of Event or Problem",
          "patient_sequence_number": "0",
          "text": "A review of an article was performed that presented a retrospective review of experiences with robotic total mesorectal excision procedures. The article noted 14 percent of patients developed pelvic sepsis and 7 percent developed an anastomotic leak.The corresponding author was contacted but no response has been received."
        }
      ],
      "number_patients_in_event": "",
      "distributor_name": "",
      "manufacturer_g1_address_1": "3410 Central Expressway",
      "distributor_zip_code": "",
      "manufacturer_contact_postal_code": "95051",
      "manufacturer_contact_exchange": "",
      "manufacturer_contact_pcountry": "",
      "suppl_dates_fda_received": ""
    }
  ]
}