510(k) Report

510(k) · Cleared

Recalled · Class II · 2013

Intuitive Surgical Bipolar Forceps

K012833510(k) TraditionalCleared Nov 16, 200185-day reviewClass II21 CFR 876.1500Recalls 4

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Intuitive Surgical, Inc. · NAY System, Surgical, Computer Controlled Instrument

Cleared on Nov 16, 2001 as substantially equivalent to K991859 (United States Surgical, A Division of Tyco Healthc, 1999) and 1 other predicate after an 85-day review. Its family tree reaches back 3 generations to 1991. 1 of the 242 devices in its family, counting itself, has a Class I recall. 233 later devices descend from it. It has been recalled 4 times.

Decided
Nov 16, 2001
Review
85 days
Class
Class II
Product code
NAY
Recalls
4
Predicates
2

Its longest line of descent runs back 3 generations to K912544 (1991). 8 ancestors in all. 233 later devices descend from it, 6 citing it directly. 1 of the 242 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2000: 1 other ancestor1996: 1 other ancestor1993: 1 other ancestor1994: 2 other ancestors2006: 3 descendants cleared2009: 2 descendants cleared2005: 2 descendants cleared2011: 5 descendants cleared2014: 10 descendants cleared2008: 5 descendants cleared2013: 5 descendants cleared2017: 14 descendants cleared2012: 4 descendants cleared2019: 9 descendants cleared2018: 16 descendants cleared2016: 9 descendants cleared2020: 17 descendants cleared2021: 16 descendants cleared2022: 18 descendants cleared2025: 31 descendants cleared2024: 22 descendants cleared2015: 4 descendants cleared2026: 22 descendants cleared2023: 19 descendants cleared, 1 with a Class I recall1K912544 · Bipolar Forceps · Everest Medical Corp. · 1991K972415 · Minisite*Bipolar Forceps** Device · United States Surgical, A Division of Tyco Healthc · 1997K991859 · Dexide Bipolar Forceps II ** Device · United States Surgical, A Division of Tyco Healthc · 19991990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor2 generations back: 2 other ancestors3 generations back: 2 other ancestors 1 generation forward: 6 descendants2 generations forward: 28 descendants3 generations forward: 31 descendants, 1 with a Class I recall14 generations forward: 33 descendants5 generations forward: 24 descendants6 generations forward: 32 descendants7 generations forward: 27 descendants8 generations forward: 23 descendants9 generations forward: 19 descendants10 generations forward: 8 descendants11 generations forward: 2 descendants K991859 · Dexide Bipolar Forceps II ** Device · United States Surgical, A Division of Tyco Healthc · 1999K972415 · Minisite*Bipolar Forceps** Device · United States Surgical, A Division of Tyco Healthc · 1997K912544 · Bipolar Forceps · Everest Medical Corp. · 19910+5+10
  1. Root · 3 generations backK912544 Bipolar ForcepsEverest Medical Corp. · 1991
  2. 2 generations backK972415 Minisite*Bipolar Forceps** DeviceUnited States Surgical, A Division of Tyco Healthc · 1997
  3. 1 generation backK991859 Dexide Bipolar Forceps II ** DeviceUnited States Surgical, A Division of Tyco Healthc · 1999
  4. This deviceK012833 Intuitive Surgical Bipolar ForcepsIntuitive Surgical, Inc. · 2001
  5. Descendant · cites it directly · 229 of its ownK050404 Intuitive Surgical DA Vinci Surgical System and Endoscopic InstrumentsIntuitive Surgical, Inc. · 2005
  6. Descendant · cites it directly · 228 of its ownK050802 Modification to Intuitive Surgical DA Vinci Surgical System and…Intuitive Surgical, Inc. · 2005
  7. Descendant · 2 generations on · 224 of its ownK063220 DA Vinci S Surgical System-V1.1, Model IS2000Intuitive Surgical, Inc. · 2006 · Recalled
  8. Descendant · 3 generations on · 211 of its ownK081137 Intuitive Surgical DA Vinci SI Surgical System: Model IS3000Intuitive Surgical, Inc. · 2009 · Recalled
  9. Descendant · 2 generations on · 155 of its ownK060391 Intuitive Surgical Endowrist Stabilizer, Model 420182Intuitive Surgical, Inc. · 2006 · Recalled

Showing 5 of 233 descendants. See all descendants

Descendants cleared per year

2005: 22006: 32008: 52009: 22011: 52012: 42013: 52014: 102015: 42016: 92017: 142018: 162019: 92020: 172021: 162022: 182023: 192024: 222025: 312026: 22
2005high 31 (2025) · low 0 (2007)2026

Class I recalls in this family

Most influential descendants

Showing 5 of 233 · See all
  • K050404Intuitive Surgical DA Vinci Surgical System and Endoscopic InstrumentsIntuitive Surgical, Inc. · 2005 · cites it directly229descendants
  • K050802Modification to Intuitive Surgical DA Vinci Surgical System and Endoscopic InstrumentsIntuitive Surgical, Inc. · 2005 · cites it directly228descendants
  • K063220DA Vinci S Surgical System-V1.1, Model IS2000Intuitive Surgical, Inc. · 2006 · 2 generations on224descendants
  • K081137Intuitive Surgical DA Vinci SI Surgical System: Model IS3000Intuitive Surgical, Inc. · 2009 · 3 generations on211descendants
  • K060391Intuitive Surgical Endowrist Stabilizer, Model 420182Intuitive Surgical, Inc. · 2006 · 2 generations on155descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−3K912544Bipolar ForcepsEverest Medical Corp.1991—
−2K972415Minisite*Bipolar Forceps** DeviceUnited States Surgical, A Division of Tyco Healthc1997—
−1K991859Dexide Bipolar Forceps II ** DeviceUnited States Surgical, A Division of Tyco Healthc1999—
0 (this device)K012833Intuitive Surgical Bipolar ForcepsIntuitive Surgical, Inc.2001—
+1K050404Intuitive Surgical DA Vinci Surgical System and Endoscopic InstrumentsIntuitive Surgical, Inc.2005—
+1K050802Modification to Intuitive Surgical DA Vinci Surgical System and Endoscopic…Intuitive Surgical, Inc.2005—
+2K063220DA Vinci S Surgical System-V1.1, Model IS2000Intuitive Surgical, Inc.20064
+3K081137Intuitive Surgical DA Vinci SI Surgical System: Model IS3000Intuitive Surgical, Inc.200925
+2K060391Intuitive Surgical Endowrist Stabilizer, Model 420182Intuitive Surgical, Inc.20061

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199310
199420
199610
200010

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200520
200630
200850
200920
201150
201240
201350
2014100
201540
201690
2017140
2018160
201990
2020170
2021160
2022180
2023191
2024220
2025310
2026220
FIG. 1 — Lineage of K012833, 1991–2026Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

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Notable FDA decisions, review times and new Class I recalls. See an issue.

Sources: FDA 510(k) database (decision fields), the FDA summary (predicates and indications), FDA recall and enforcement reports, and MAUDE; processed by 510(k) Report. Verify on FDA.gov · Methodology and accuracy.

1 device in this family has a Class I recall. A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

Top candidate predicates for a new NAY device

  1. #1 K232610 da Vinci Surgical System Model IS5000, da…score 32.9 · 24 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
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What was it cleared against? (2)

Devices the submitter claimed this one is substantially equivalent to (*), and reference devices cited for a specific test or feature (†), as written in the FDA summary.

TypeNumberDeviceApplicantDecidedRecalls
*K991859Dexide Bipolar Forceps II ** Device
Summary page 1
…§878.4400) Trade Name: Intuitive Surgical® Endowrist™ Bipolar Forceps Common Namé: Bipolar Forceps Predicate Device(s): United States Sprgical Dexide Bipolar Forceps K991859 Intuitive Surgical da Vinci Surgical System K990144 Device Description: The Intuitive Surgical® Bipolar Forceps is an endoscop…
United States Surgical, A Division of Tyco Healthc1999—
*K990144Intuitive Surgical Endoscopic Instruments, Intuitive Surgical Endoscopic Instrument…
Summary page 1
…t™ Bipolar Forceps Common Namé: Bipolar Forceps Predicate Device(s): United States Sprgical Dexide Bipolar Forceps K991859 Intuitive Surgical da Vinci Surgical System K990144 Device Description: The Intuitive Surgical® Bipolar Forceps is an endoscopic instrument with a graspfng end effector to be used…
Intuitive Surgical, Inc.20003

What descends from it? (233)

See all 233

6 later devices cite it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K050404Intuitive Surgical DA Vinci Surgical System and Endoscopic InstrumentsIntuitive Surgical, Inc.2005229
K050802Modification to Intuitive Surgical DA Vinci Surgical System and Endoscopic InstrumentsIntuitive Surgical, Inc.2005228
K061260Intuitive Surgical Endowrist PK Dissecting Forceps, Models 400214 & 420214Intuitive Surgical, Inc.2006154
K090993Intuitive Surgical Endoscopic Instrument Control Systems, Models IS1200, IS2000 and IS3000Intuitive Surgical, Inc.2009153
K110639Endowrist One Vessel SealerIntuitive Surgical, Inc.201115
K123329DA Vinvi Surgical SystemIntuitive Surgical, Inc.20143

Has anything in its family been recalled? (1 Class I)

Recalls of this device

DateClassRecallRoot causeReason
May 8, 2013Class IIZ-1432-2013Device DesignReports of dislodging of the Cautery Plug Insert from the Cautery Plug Riser, preventing a bipolar cautery cable from being properly connected which results in loss of cautery function of Bipolar Instruments.
May 8, 2013Class IIZ-1431-2013Device DesignReports of dislodging of the Cautery Plug Insert from the Cautery Plug Riser, preventing a bipolar cautery cable from being properly connected which results in loss of cautery function of Bipolar Instruments.
May 8, 2013Class IIZ-1433-2013Device DesignReports of dislodging of the Cautery Plug Insert from the Cautery Plug Riser, preventing a bipolar cautery cable from being properly connected which results in loss of cautery function of Bipolar Instruments.
Mar 24, 2005Not classifiedZ-0660-2007OtherThe products were incorrectly programmed as training instruments, which allows for 30 uses (surgical procedures) instead of 10 uses.

Relatives with a Class I recall

Class I is FDA’s most serious recall class. A recall in the family tree is context for this device, not evidence about it.

  • K223095Senhance Surgical SystemAsensus Surgical, Inc. · 2023 · 3 generations on · ◆ in the 2023 descendants bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 10 years and passes through 3 companies; a new generation was cleared every 2.4 years on median.
  • 2 of the 8 ancestors have a recall of any class.
  • Of its descendants, K050404 (Intuitive Surgical, Inc., 2005) has gone furthest, with 229 descendants of its own.

How does its category compare?

All NAY devices

NAY System, Surgical, Computer Controlled Instrument: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · NAY

16in 2025

2008: 42009: 32010: 12011: 72012: 42013: 42014: 92015: 32016: 82017: 162018: 152019: 82020: 92021: 112022: 62023: 52024: 102025: 162026 (partial year): 7
2007high 16 (2017) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · NAY

117in 2025

2008: 189 days median2009: 253 days median2011: 191 days median2012: 106 days median2013: 144 days median2014: 143 days median2015: 99 days median2016: 197 days median2017: 107 days median2018: 152 days median2019: 73 days median2020: 212 days median2021: 61 days median2022: 57 days median2023: 141 days median2024: 126 days median2025: 117 days median2026 (partial year): 89 days median
2007high 253 (2009) · low 57 (2022)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · NAY

1in 2025

2007: 112008: 32009: 12011: 22012: 12013: 62014: 252015: 32016: 12017: 12018: 22019: 52021: 32022: 32023: 2, 1 Class I2024: 402025: 12026 (partial year): 4, 1 Class I
2007high 40 (2024) · low 0 (2010)2026

Class I (2 since 2007) Class II/III not classified

Adverse event reports per year · NAY

48,456in 2025

2007: 1332008: 2242009: 3802010: 6232011: 5012012: 1,5522013: 6,2172014: 6,1352015: 1,7222016: 1,0772017: 1,0492018: 1,0742019: 1,1542020: 1,5582021: 1,9972022: 5,7272023: 10,8982024: 12,8722025: 48,456
2007high 48,456 (2025) · low 133 (2007)2025

MAUDE reports naming product code NAY, not matched to any one device; reports are not rates.

View these four charts as a table
YearDecisionsMedian 510(k) review, daysRecalls (Class I)MAUDE reports
20070—11133
200841893224
200932531380
20101—0623
201171912501
2012410611,552
2013414466,217
20149143256,135
201539931,722
2016819711,077
20171610711,049
20181515221,074
201987351,154
2020921201,558
2021116131,997
202265735,727
202351412 (1)10,898
2024101264012,872
202516117148,456
20267894 (1)—

What is it indicated for?

The Intuitive Surgical® Bipolar Forceps is intended for use with the da Vinci™ Surgical System to grasp, retract, coagulate and transect soft tissues during endoscopic surgical procedures.

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K012833: Intuitive Surgical Bipolar Forceps.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K012833

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Record history
  • FDA decision record loaded May 2, 2026
  • Summary read Oct 30, 2026 (extraction version 2d9447fa9ea4)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026