{
  "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",
    "results": {
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  "results": [
    {
      "manufacturer_contact_zip_ext": "7035",
      "manufacturer_g1_address_2": "",
      "event_location": "",
      "report_to_fda": "",
      "manufacturer_contact_t_name": "MR.",
      "manufacturer_contact_state": "NC",
      "manufacturer_link_flag": "Y",
      "manufacturer_contact_address_2": "",
      "manufacturer_g1_city": "MILAN, LOMBARDY",
      "manufacturer_contact_address_1": "1 TW ALEXANDER DRIVE",
      "manufacturer_contact_pcity": "",
      "event_type": "Injury",
      "report_number": "3007593944-2023-00002",
      "type_of_report": [
        "Initial submission",
        "Followup"
      ],
      "product_problem_flag": "N",
      "date_received": "20230919",
      "manufacturer_address_2": "",
      "pma_pmn_number": "K171120",
      "date_of_event": "20220224",
      "reprocessed_and_reused_flag": "N",
      "manufacturer_address_1": "",
      "exemption_number": "",
      "manufacturer_contact_zip_code": "27703",
      "reporter_occupation_code": "PHYSICIAN",
      "manufacturer_contact_plocal": "",
      "noe_summarized": "1",
      "manufacturer_contact_l_name": "HINCKLEY",
      "source_type": [
        "Foreign",
        "Health Professional"
      ],
      "distributor_zip_code_ext": "",
      "manufacturer_g1_postal_code": "20126",
      "manufacturer_g1_state": "",
      "reporter_country_code": "AU",
      "manufacturer_contact_area_code": "",
      "date_added": "20230919",
      "manufacturer_contact_f_name": "CASEY",
      "previous_use_code": "U",
      "device": [
        {
          "device_event_key": "",
          "implant_flag": "",
          "date_removed_flag": "",
          "device_sequence_number": "1585340",
          "implant_date_year": "",
          "date_removed_year": "",
          "serviced_by_3rd_party_flag": "N",
          "date_received": "20230919",
          "brand_name": "SENHANCE",
          "generic_name": "SENHANCE SURGICAL SYSTEM",
          "manufacturer_d_name": "ASENSUS SURGICAL, INC.",
          "manufacturer_d_address_1": "1 TW ALEXANDER DRIVE",
          "manufacturer_d_address_2": "SUITE 160",
          "manufacturer_d_city": "DURHAM",
          "manufacturer_d_state": "NC",
          "manufacturer_d_zip_code": "27703",
          "manufacturer_d_zip_code_ext": "7035",
          "manufacturer_d_country": "US",
          "manufacturer_d_postal_code": "277037035",
          "device_operator": "HEALTH PROFESSIONAL",
          "model_number": "",
          "catalog_number": "",
          "lot_number": "",
          "other_id_number": "",
          "device_availability": "No",
          "device_report_product_code": "NAY",
          "device_age_text": "DA",
          "device_evaluated_by_manufacturer": "R",
          "combination_product_flag": "N",
          "udi_di": "",
          "udi_public": "",
          "openfda": {
            "device_name": "System, Surgical, Computer Controlled Instrument",
            "medical_specialty_description": "Gastroenterology, Urology",
            "regulation_number": "876.1500",
            "device_class": "2"
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        }
      ],
      "product_problems": [
        "Adverse Event Without Identified Device or Use Problem",
        "Insufficient Device Problem Information",
        "Adverse Event Without Identified Device or Use Problem",
        "Insufficient Device Problem Information"
      ],
      "reporter_state_code": "",
      "manufacturer_zip_code": "",
      "suppl_dates_mfr_received": "09/06/2022",
      "mfr_report_type": "Initial",
      "manufacturer_contact_country": "US",
      "date_changed": "20250807",
      "health_professional": "Y",
      "summary_report_flag": "N",
      "manufacturer_g1_zip_code_ext": "",
      "manufacturer_contact_extension": "",
      "manufacturer_city": "",
      "manufacturer_contact_phone_number": "",
      "patient": [
        {
          "patient_sequence_number": "1",
          "date_received": "20230919",
          "sequence_number_treatment": [
            ""
          ],
          "sequence_number_outcome": [
            "Required Intervention"
          ],
          "patient_age": "",
          "patient_sex": "Unknown",
          "patient_weight": "",
          "patient_ethnicity": "",
          "patient_race": "",
          "patient_problems": [
            "Perforation",
            "Perforation"
          ]
        }
      ],
      "distributor_city": "",
      "date_report": "20231012",
      "initial_report_to_fda": "",
      "distributor_state": "",
      "event_key": "",
      "manufacturer_g1_country": "IT",
      "manufacturer_contact_city": "DURHAM",
      "mdr_report_key": "17774540",
      "removal_correction_number": "",
      "number_devices_in_event": "",
      "date_manufacturer_received": "20220906",
      "manufacturer_name": "",
      "report_source_code": "Manufacturer report",
      "remedial_action": [
        ""
      ],
      "manufacturer_g1_zip_code": "20126",
      "report_to_manufacturer": "",
      "manufacturer_zip_code_ext": "",
      "manufacturer_g1_name": "ASENSUS SURGICAL ITALIA, S.R.L",
      "adverse_event_flag": "Y",
      "distributor_address_1": "",
      "manufacturer_state": "",
      "distributor_address_2": "",
      "manufacturer_postal_code": "",
      "single_use_flag": "N",
      "manufacturer_country": "",
      "mdr_text": [
        {
          "mdr_text_key": "338790445",
          "text_type_code": "Additional Manufacturer Narrative",
          "patient_sequence_number": "0",
          "text": "BASED ON THE COMPLAINT DETAILS (B)(4). THE PATIENT EXPERIENCED A RECTAL PERFORATION REQUIRING A SURGERY. THIS EVENT DID NOT OCCUR WITHIN THE UNITED STATES. THIS EVENT OCCURRED AT (B)(6) IN AUSTRIA. THE EVENT OCCURRED ON (B)(6) 2022, AND ASENSUS SURGICAL WAS MADE AWARE ON 06-SEPTEMBER-2022. ACCORDING TO THE INVESTIGATION, FURTHER RESPONSES FROM SURGEON INTERVIEWS INDICATED THAT THE RECTAL PERFORATION THAT OCCURRED WAS NOT RELATED TO THE SENHANCE SURGICAL SYSTEM, BUT RATHER CONSIDERED TO BE A NORMAL SURGICAL COMPLICATION UNRELATED TO THE ROBOT. FURTHERMORE, NO MALFUNCTION OF THE SENHANCE SYSTEM WAS REPORTED AND NO FAILURES WERE IDENTIFIED. THE RISK POSED BY THIS EVENT WAS EVALUATED THROUGH A HEALTH HAZARD EVALUATION (HHE-001-00030) AND A CORRECTIVE ACTION PREVENTATIVE ACTION PLAN (CAPA-000048) HAS BEEN OPENED TO MANAGE THE UNSUITABLE TIMELINESS OF THE RECEIPT AND MANAGEMENT OF THIS REPORTED EVENT. THEREFORE, ASENSUS SURGICAL IS REPORTING THIS FOLLOWUP FOR COMPLETENESS TO THE INITIAL MDR REPORT SUBMITTED ON 19-SEPTEMBER-2023."
        },
        {
          "mdr_text_key": "338790446",
          "text_type_code": "Description of Event or Problem",
          "patient_sequence_number": "0",
          "text": "THE EVENT OCCURED IN (B)(6) HOSPITAL IN AUSTRIA. THE EVENT OCCURED ON 2/24/2022, AND INTERNALLY MADE AWARE ON 9/6/2022. THE PATIENT EXPERIENCED RECTAL PERFORATION WHICH WAS TREATED (RESOLVED ON (B)(6) 2022). IT WAS REPORTED THAT THE CAUSALITY TO THE SENHANCE SURGICAL SYSTEM WAS PROBABLE."
        },
        {
          "mdr_text_key": "323743557",
          "text_type_code": "Description of Event or Problem",
          "patient_sequence_number": "0",
          "text": "THE EVENT OCCURED IN (B)(6) HOSPITAL IN AUSTRIA. THE EVENT OCCURED ON (B)(6) 2022, AND INTERNALLY MADE AWARE ON 9/6/2022. THE PATIENT EXPERIENCED RECTAL PERFORATION WHICH WAS TREATED (RESOLVED IN (B)(6) 2022). IT WAS REPORTED THAT THE CAUSALITY TO THE ENHANCE SURGICAL SYSTEM WAS PROBABLE."
        }
      ],
      "number_patients_in_event": "",
      "distributor_name": "",
      "manufacturer_g1_address_1": "VIALE DELL'INNOVAZIONE 3",
      "distributor_zip_code": "",
      "manufacturer_contact_postal_code": "277037035",
      "manufacturer_contact_exchange": "",
      "manufacturer_contact_pcountry": "",
      "suppl_dates_fda_received": "10/12/2023"
    }
  ]
}