CLASS II Device recall · Reported 1 Dec 2021 · FDA Enforcement Report

The da Vinci Xi and X surgical systems (IS4000 recalled

Intuitive Surgical is recalling The da Vinci Xi and X surgical systems (IS4000 and IS4200) each consist of three main, distributed nationwide in the US. The recall was initiated on 21 Sep 2021 and the FDA has classified it as Class II.

Check your package

Lot, batch or date codesPart number: 470015-07; Lot number: DM4210309; REF: 470015; UDI # 00886874112199.
Quantity recalled1,740 drapes (87 bobes)

Stop using the device if the notice says to, and contact the manufacturer or your healthcare provider for the correction or replacement.

Recall details

Recall number
Z-0275-2022
FDA event ID
88783
Recalling firm
Intuitive Surgical, Sunnyvale, CA
Classification
Class II
Status
Terminated
Recall initiated
21 Sep 2021
FDA classified
23 Nov 2021
Reported
1 Dec 2021
Type
Voluntary: Firm initiated
Customers notified by
E-Mail
Reason category
Sterility

Timeline

21 Sep 2021Recall initiated by company
23 Nov 2021Classified by FDA+63 days
1 Dec 2021Published in enforcement report+8 days

Companies usually start a recall weeks before the FDA classifies and publishes it; the gap above is that lag.

Reason for recall

Incorrect expiration date on its package labeling (shipper box and inner carton label).

A sterility recall means a product that must be sterile, such as an injection or eye drop, may be contaminated. Using a non-sterile product can cause serious infection.

Product as listed by the FDA

The da Vinci Xi and X surgical systems (IS4000 and IS4200) each consist of three main components: the Surgeon Console (SC), the Vision Cart (VC), and the Patient Cart (PC). The Patient Cart is the operative component of the system and its primary function is to support the instrument arms and camera arm. The X/Xi Instrument Arm Drape is intended to be used with the instrument arms of the PC as a sterile barrier during clinical procedures, and makes the instrument arms sterile and suitable for surgery. X/Xi Instrument Arm Drapes are sterile unless the package is opened or damaged, and are indicated for a single use. The drapes are placed onto the instrument arms by two users (one sterile and one non-sterile)in tandem, with the non-sterile user leading the placement via drape cuff pockets.

Where it was distributed

Worldwide distribution - U.S. Nationwide distribution in the states of AL, CA, GA, IL, FL, CO, TX, MO, OH, MA, WI, NC, LA, UT and the country of South Korea.

Nationwide AlabamaCaliforniaColoradoFloridaGeorgiaIllinoisLouisianaMassachusettsMissouriNorth CarolinaOhioTexasUtahWisconsin

Questions about this recall

Is The da Vinci Xi and X surgical systems (IS4000 and IS4200) each consist of three main recalled?

Yes. Intuitive Surgical recalled The da Vinci Xi and X surgical systems (IS4000 and IS4200) each consist of three main on 21 Sep 2021. The recall is Class II and its status is Terminated. Recall number Z-0275-2022.

Why was it recalled?

Incorrect expiration date on its package labeling (shipper box and inner carton label).

Which lots are affected?

Part number: 470015-07; Lot number: DM4210309; REF: 470015; UDI # 00886874112199.

Where was it sold?

Worldwide distribution - U.S. Nationwide distribution in the states of AL, CA, GA, IL, FL, CO, TX, MO, OH, MA, WI, NC, LA, UT and the country of South Korea.

What should I do if I have it?

Stop using the device if the notice says to, and contact the manufacturer or your healthcare provider for the correction or replacement.

What does Class II mean?

Class II means the product may cause temporary or medically reversible health problems, or the probability of serious harm is remote.

Read the official FDA notice · Source record retrieved 21 Sep 2026. The FDA describes openFDA data as unvalidated; the official notice takes precedence. This page reports the record and gives no medical advice.

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