Cleared Traditional

K242427 - da Vinci Xi Surgical System (IS4000) (FDA 510(k) Clearance)

Also includes:
da Vinci X Surgical System (IS4200)
Apr 2025
Decision
229d
Days
Class 2
Risk

K242427 is an FDA 510(k) clearance for the da Vinci Xi Surgical System (IS4000). This device is classified as a System, Surgical, Computer Controlled Instrument (Class II - Special Controls, product code NAY).

Submitted by Intuitive Surgical, Inc. (Sunnyvale, US). The FDA issued a Cleared decision on April 1, 2025, 229 days after receiving the submission on August 15, 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 K242427 FDA.gov
FDA Decision Cleared Substantially Equivalent - Traditional 510(k) (SESE)
Date Received August 15, 2024
Decision Date April 01, 2025
Days to Decision 229 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).

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