Cleared Traditional

K240852 - da Vinci X Surgical System (IS4200) (FDA 510(k) Clearance)

Also includes:
da Vinci Xi Surgical System (IS4000)
Jun 2025
Decision
440d
Days
Class 2
Risk

K240852 is an FDA 510(k) clearance for the da Vinci X Surgical System (IS4200). This device is classified as a System, Surgical, Computer Controlled Instrument (Class II - Special Controls, product code NAY).

Submitted by Intuitive Surgical, Inc. (Suunyvale, US). The FDA issued a Cleared decision on June 11, 2025, 440 days after receiving the submission on March 28, 2024.

This device falls under the General & Plastic Surgery FDA review panel. Regulated under 21 CFR 876.1500. If The Device Is Reusable, Validated Reprocessing Instructions And Reprocessing Validation Data For This Device Type Must Be Included In A 510(k) Submission (82 Fr 26807, Available At Https://www.gpo.gov/fdsys/pkg/fr-2017-06-09/pdf/2017-12007.pdf)..

Submission Details

510(k) Number K240852 FDA.gov
FDA Decision Cleared Substantially Equivalent - Traditional 510(k) (SESE)
Date Received March 28, 2024
Decision Date June 11, 2025
Days to Decision 440 days
Submission Type Traditional
Review Panel General & Plastic Surgery (SU)
Summary Summary PDF

Device Classification

Product Code NAY — System, Surgical, Computer Controlled Instrument
Device Class Class II - Special Controls
CFR Regulation 21 CFR 876.1500
Definition If The Device Is Reusable, Validated Reprocessing Instructions And Reprocessing Validation Data For This Device Type Must Be Included In A 510(k) Submission (82 Fr 26807, Available At Https://www.gpo.gov/fdsys/pkg/fr-2017-06-09/pdf/2017-12007.pdf).

Similar Devices — NAY System, Surgical, Computer Controlled Instrument

All 43
da Vinci Force Feedback Instruments
K253986 · Intuitive Surgical, Inc. · Mar 2026
da Vinci Surgical System (IS5000)
K251739 · Intuitive Surgical, Inc. · Jan 2026
da Vinci SP Surgical System (SP1098)
K253556 · Intuitive Surgical, Inc. · Jan 2026
da Vinci SP Surgical System (SP1098)
K252675 · Intuitive Surgical, Inc. · Dec 2025
da Vinci SP Surgical System (SP1098)
K252069 · Intuitive Surgical, Inc. · Dec 2025
da Vinci SP Surgical System (SP1098)
K251426 · Intuitive Surgical, Inc. · Oct 2025