510(k) Report

510(k) · Cleared

Cleared

da Vinci Xi Surgical System, da Vinci Si Surgical System, da Vinci X Surgical System

K171699510(k) TraditionalCleared Jul 28, 201750-day reviewClass II21 CFR 876.1500

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 Jul 28, 2017 as substantially equivalent to K090993 (Intuitive Surgical, Inc., 2009) and 2 other predicates after a 50-day review. Its family tree reaches back 15 generations to 1994. 1 of the 71 devices in its family, counting itself, has a Class I recall. 14 later devices descend from it.

Decided
Jul 28, 2017
Review
50 days
Class
Class II
Product code
NAY
Recalls
None
Predicates
3

Its longest line of descent runs back 15 generations to K930667 (1994). 56 ancestors in all, the oldest K811390 (1981). 14 later devices descend from it, 3 citing it directly. 1 of the 71 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2006: 2 other ancestors2005: 2 other ancestors2004: 4 other ancestors2002: 3 other ancestors2001: 5 other ancestors2003: 1 other ancestor1999: 3 other ancestors1997: 7 other ancestors1993: 2 other ancestors1998: 2 other ancestors1995: 2 other ancestors1994: 2 other ancestors1992: 1 other ancestor1991: 3 other ancestors1988: 1 other ancestor1981: 1 other ancestor2023: 1 descendant cleared, 1 with a Class I recall12024: 4 descendants cleared2026: 5 descendants cleared2025: 4 descendants clearedK930667 · Reusable Laparoscopic Instruments · Snowden-Pencer · 1994 · recalledK960400 · Diamond-Touch and Micro Diamond-Touch Instruments/Diamond-Line Instruments/Diamond-Port (Access Parts) · Snowden-Pencer · 1996K990144 · Intuitive Surgical Endoscopic Instruments, Intuitive Surgical Endoscopic Instrument Control System · Intuitive Surgical, Inc. · 2000 · recalledK021036 · Intuitive Surgical DA Vinci Surgical System, Model IS1000 · Intuitive Surgical, Inc. · 2002 · recalled×5: 5 generations cleared close together, K040237 (2004), K043153 (2004), K050005 (2005), K050404 (2005), K050802 (2005) K063220 · DA Vinci S Surgical System-V1.1, Model IS2000 · Intuitive Surgical, Inc. · 2006 · recalledK081137 · Intuitive Surgical DA Vinci SI Surgical System: Model IS3000 · Intuitive Surgical, Inc. · 2009 · recalledK090993 · Intuitive Surgical Endoscopic Instrument Control Systems, Models IS1200, IS2000 and IS3000 · Intuitive Surgical, Inc. · 2009 · recalledK123463 · Intuitive Surgical DA Vinci SI Surgical System Smartpedals · Intuitive Surgical, Inc. · 2012 · recalledK131861 · DA Vinci Surgical System, Endowrist Instruments and Accessories · Intuitive Surgical, Inc. · 2014 · recalledK171294 · da Vinci X Surgical System · Intuitive Surgical, Inc. · 2017 · recalled19801990200020102020
Other ancestors, by generationDescendants, by generation 2 generations back: 12 other ancestors3 generations back: 8 other ancestors4 generations back: 13 other ancestors5 generations back: 5 other ancestors6 generations back: 3 other ancestors 1 generation forward: 3 descendants, 1 with a Class I recall12 generations forward: 7 descendants3 generations forward: 4 descendants K171294 · da Vinci X Surgical System · Intuitive Surgical, Inc. · 2017 · recalledK131861 · DA Vinci Surgical System, Endowrist Instruments and Accessories · Intuitive Surgical, Inc. · 2014 · recalledK123463 · Intuitive Surgical DA Vinci SI Surgical System Smartpedals · Intuitive Surgical, Inc. · 2012 · recalledK090993 · Intuitive Surgical Endoscopic Instrument Control Systems, Models IS1200, IS2000 and IS3000 · Intuitive Surgical, Inc. · 2009 · recalledK081137 · Intuitive Surgical DA Vinci SI Surgical System: Model IS3000 · Intuitive Surgical, Inc. · 2009 · recalledK063220 · DA Vinci S Surgical System-V1.1, Model IS2000 · Intuitive Surgical, Inc. · 2006 · recalledK050802 · Modification to Intuitive Surgical DA Vinci Surgical System and Endoscopic Instruments · Intuitive Surgical, Inc. · 2005K050404 · Intuitive Surgical DA Vinci Surgical System and Endoscopic Instruments · Intuitive Surgical, Inc. · 2005K050005 · Intuitive Surgical Monopolar Curved Scissors, Model 400179; Tip Cover Accessory, Model 400180 · Intuitive Surgical, Inc. · 2005 · recalledK043153 · Intuitive Surgical DA Vinci Surgical System and Endoscopic Instruments, Models IS1200 & IS1000 · Intuitive Surgical, Inc. · 2004K040237 · Intuitive Surgical DA Vinci Endoscopic Instrument Control System and Endoscopic Instruments · Intuitive Surgical, Inc. · 2004K021036 · Intuitive Surgical DA Vinci Surgical System, Model IS1000 · Intuitive Surgical, Inc. · 2002 · recalledK990144 · Intuitive Surgical Endoscopic Instruments, Intuitive Surgical Endoscopic Instrument Control System · Intuitive Surgical, Inc. · 2000 · recalledK960400 · Diamond-Touch and Micro Diamond-Touch Instruments/Diamond-Line Instruments/Diamond-Port (Access Parts) · Snowden-Pencer · 1996K930667 · Reusable Laparoscopic Instruments · Snowden-Pencer · 1994 · recalled−15−10−50
  1. Root · 15 generations backK930667 Reusable Laparoscopic InstrumentsSnowden-Pencer · 1994 · Recalled
  2. 11 generations between
  3. 3 generations backK123463 Intuitive Surgical DA Vinci SI Surgical System SmartpedalsIntuitive Surgical, Inc. · 2012 · Recalled
  4. 2 generations backK131861 DA Vinci Surgical System, Endowrist Instruments and AccessoriesIntuitive Surgical, Inc. · 2014 · Recalled
  5. 1 generation backK171294 da Vinci X Surgical SystemIntuitive Surgical, Inc. · 2017 · Recalled
  6. This deviceK171699 da Vinci Xi Surgical System, da Vinci Si Surgical System, da Vinci X…Intuitive Surgical, Inc. · 2017
  7. Descendant · cites it directly · 11 of its ownK232610 da Vinci Surgical System Model IS5000, da Vinci Insufflator and Tube…Intuitive Surgical, Inc. · 2024 · Recalled
  8. Descendant · 2 generations on · 2 of its ownK251739 da Vinci Surgical System (IS5000)Intuitive Surgical, Inc. · 2026
  9. Descendant · 2 generations on · 2 of its ownK241284 da Vinci Surgical System (IS5000)Intuitive Surgical, Inc. · 2024
  10. Descendant · 2 generations on · 1 of its ownK251202 da Vinci Surgical System (IS5000)Intuitive Surgical, Inc. · 2025
  11. Descendant · 2 generations on · 1 of its ownK243641 da Vinci Surgical System (IS5000)Intuitive Surgical, Inc. · 2024
Show all 15 generations
  1. Root · 15 generations backK930667 Reusable Laparoscopic InstrumentsSnowden-Pencer · 1994 · Recalled
  2. 14 generations backK960400 Diamond-Touch and Micro Diamond-Touch Instruments/Diamond-Line…Snowden-Pencer · 1996
  3. 13 generations backK990144 Intuitive Surgical Endoscopic Instruments, Intuitive Surgical…Intuitive Surgical, Inc. · 2000 · Recalled
  4. 12 generations backK021036 Intuitive Surgical DA Vinci Surgical System, Model IS1000Intuitive Surgical, Inc. · 2002 · Recalled
  5. 11 generations backK040237 Intuitive Surgical DA Vinci Endoscopic Instrument Control System and…Intuitive Surgical, Inc. · 2004
  6. 10 generations backK043153 Intuitive Surgical DA Vinci Surgical System and Endoscopic…Intuitive Surgical, Inc. · 2004
  7. 9 generations backK050005 Intuitive Surgical Monopolar Curved Scissors, Model 400179; Tip…Intuitive Surgical, Inc. · 2005 · Recalled
  8. 8 generations backK050404 Intuitive Surgical DA Vinci Surgical System and Endoscopic InstrumentsIntuitive Surgical, Inc. · 2005
  9. 7 generations backK050802 Modification to Intuitive Surgical DA Vinci Surgical System and…Intuitive Surgical, Inc. · 2005
  10. 6 generations backK063220 DA Vinci S Surgical System-V1.1, Model IS2000Intuitive Surgical, Inc. · 2006 · Recalled
  11. 5 generations backK081137 Intuitive Surgical DA Vinci SI Surgical System: Model IS3000Intuitive Surgical, Inc. · 2009 · Recalled
  12. 4 generations backK090993 Intuitive Surgical Endoscopic Instrument Control Systems, Models…Intuitive Surgical, Inc. · 2009 · Recalled
  13. 3 generations backK123463 Intuitive Surgical DA Vinci SI Surgical System SmartpedalsIntuitive Surgical, Inc. · 2012 · Recalled
  14. 2 generations backK131861 DA Vinci Surgical System, Endowrist Instruments and AccessoriesIntuitive Surgical, Inc. · 2014 · Recalled
  15. 1 generation backK171294 da Vinci X Surgical SystemIntuitive Surgical, Inc. · 2017 · Recalled
  16. This deviceK171699 da Vinci Xi Surgical System, da Vinci Si Surgical System, da Vinci X…Intuitive Surgical, Inc. · 2017

Showing 5 of 14 descendants. See all descendants

Descendants cleared per year

2023: 12024: 42025: 42026: 5
2023high 5 (2026) · low 1 (2023)2026

Class I recalls in this family

Most influential descendants

Showing 5 of 14 · See all
  • K232610da Vinci Surgical System Model IS5000, da Vinci Insufflator and Tube Set with Smoke…Intuitive Surgical, Inc. · 2024 · cites it directly11descendants
  • K251739da Vinci Surgical System (IS5000)Intuitive Surgical, Inc. · 2026 · 2 generations on2descendants
  • K241284da Vinci Surgical System (IS5000)Intuitive Surgical, Inc. · 2024 · 2 generations on2descendants
  • K251202da Vinci Surgical System (IS5000)Intuitive Surgical, Inc. · 2025 · 2 generations on1descendant
  • K243641da Vinci Surgical System (IS5000)Intuitive Surgical, Inc. · 2024 · 2 generations on1descendant
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−15K930667Reusable Laparoscopic InstrumentsSnowden-Pencer199415
−14K960400Diamond-Touch and Micro Diamond-Touch Instruments/Diamond-Line…Snowden-Pencer1996—
−13K990144Intuitive Surgical Endoscopic Instruments, Intuitive Surgical Endoscopic…Intuitive Surgical, Inc.20003
−12K021036Intuitive Surgical DA Vinci Surgical System, Model IS1000Intuitive Surgical, Inc.200218
−11K040237Intuitive Surgical DA Vinci Endoscopic Instrument Control System and…Intuitive Surgical, Inc.2004—
−10K043153Intuitive Surgical DA Vinci Surgical System and Endoscopic Instruments, Models…Intuitive Surgical, Inc.2004—
−9K050005Intuitive Surgical Monopolar Curved Scissors, Model 400179; Tip Cover…Intuitive Surgical, Inc.20052
−8K050404Intuitive Surgical DA Vinci Surgical System and Endoscopic InstrumentsIntuitive Surgical, Inc.2005—
−7K050802Modification to Intuitive Surgical DA Vinci Surgical System and Endoscopic…Intuitive Surgical, Inc.2005—
−6K063220DA Vinci S Surgical System-V1.1, Model IS2000Intuitive Surgical, Inc.20064
−5K081137Intuitive Surgical DA Vinci SI Surgical System: Model IS3000Intuitive Surgical, Inc.200925
−4K090993Intuitive Surgical Endoscopic Instrument Control Systems, Models IS1200…Intuitive Surgical, Inc.20093
−3K123463Intuitive Surgical DA Vinci SI Surgical System SmartpedalsIntuitive Surgical, Inc.20122
−2K131861DA Vinci Surgical System, Endowrist Instruments and AccessoriesIntuitive Surgical, Inc.201480
−1K171294da Vinci X Surgical SystemIntuitive Surgical, Inc.201710
0 (this device)K171699da Vinci Xi Surgical System, da Vinci Si Surgical System, da Vinci X Surgical…Intuitive Surgical, Inc.2017—
+1K232610da Vinci Surgical System Model IS5000, da Vinci Insufflator and Tube Set with…Intuitive Surgical, Inc.20246
+2K251739da Vinci Surgical System (IS5000)Intuitive Surgical, Inc.2026—
+2K241284da Vinci Surgical System (IS5000)Intuitive Surgical, Inc.2024—
+2K251202da Vinci Surgical System (IS5000)Intuitive Surgical, Inc.2025—
+2K243641da Vinci Surgical System (IS5000)Intuitive Surgical, Inc.2024—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198110
198810
199130
199210
199320
199420
199520
199770
199820
199930
200150
200230
200310
200440
200520
200620

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202311
202440
202540
202650
FIG. 1 — Lineage of K171699, 1994–2026Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

Get the monthly Device Review Tracker

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
Get a 510(k) Report

What was it cleared against? (3)

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
*K090993Intuitive Surgical Endoscopic Instrument Control Systems, Models IS1200, IS2000 and IS3000
Summary page 6
…(21 CFR §876.1500) Regulatory Class: II Product Code: NAY III: PREDICATE DEVICE INFORMATION Predicate Devices: da Vinci Surgical Systems (K090993, K131861, K171294) IV: DEVICE DESCRIPTION The da Vinci Surgical Systems (Models IS3000, IS4000 and IS4200) are software-controll…
Intuitive Surgical, Inc.20093
*K131861DA Vinci Surgical System, Endowrist Instruments and Accessories
Summary page 6
…876.1500) Regulatory Class: II Product Code: NAY III: PREDICATE DEVICE INFORMATION Predicate Devices: da Vinci Surgical Systems (K090993, K131861, K171294) IV: DEVICE DESCRIPTION The da Vinci Surgical Systems (Models IS3000, IS4000 and IS4200) are software-controlled, elect…
Intuitive Surgical, Inc.201480
*K171294da Vinci X Surgical System
Summary page 6
…Regulatory Class: II Product Code: NAY III: PREDICATE DEVICE INFORMATION Predicate Devices: da Vinci Surgical Systems (K090993, K131861, K171294) IV: DEVICE DESCRIPTION The da Vinci Surgical Systems (Models IS3000, IS4000 and IS4200) are software-controlled, electro- mecha…
Intuitive Surgical, Inc.201710

Also cleared against K090993: 19 other devices →

What descends from it? (14)

See all 14

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

NumberDeviceApplicantDecidedDescendants
K232610da Vinci Surgical System Model IS5000, da Vinci Insufflator and Tube Set with Smoke…Intuitive Surgical, Inc.202411
K223095Senhance Surgical System Class IAsensus Surgical, Inc.20231
K233866Senhance Surgical SystemAsensus Surgical, Inc.20240

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

No FDA recall names this device.

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 · Cites it directly · ◆ in the 2023 descendants bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 23 years and passes through 2 companies; a new generation was cleared every 1.4 years on median.
  • 15 of the 56 ancestors have a recall of any class.
  • Of its descendants, K232610 (Intuitive Surgical, Inc., 2024) has gone furthest, with 11 descendants of its own.
  • 19 other devices also cite its predicate K090993.

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. 2017, this device’s year, is highlighted.

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 Endoscopic Instrument Control System (da Vinci Surgical System, Model 1S4000) is intended to assist in the accurate control of Intuitive Surgical Endoscopic Instruments including rigid endoscopes, blunt and sharp endoscopic dissectors, scissors, scalpels, forceps/pick-ups, needle holders, endoscopic retractors, electrocautery and accessories for endoscopic manipulation of tissue, including grasping, cutting, blunt and sharp…

Read the full statement (453 words)

The Intuitive Surgical Endoscopic Instrument Control System (da Vinci Surgical System, Model 1S4000) is intended to

assist in the accurate control of Intuitive Surgical Endoscopic Instruments including rigid endoscopes, blunt and sharp

endoscopic dissectors, scissors, scalpels, forceps/pick-ups, needle holders, endoscopic retractors, electrocautery and

accessories for endoscopic manipulation of tissue, including grasping, cutting, blunt and sharp dissection, approximation,

ligation, electrocautery, suturing, and delivery and placement of microwave and cryogenic ablation probes and

accessories, during urologic surgical procedures, general laparoscopic surgical procedures, gynecologic laparoscopic

surgical procedures, general thoracoscopic surgical procedures and thoracoscopically-assisted cardiotomy procedures. The

system can also be employed with adjunctive mediastinotomy to perform coronary anastomosis during cardiac

revascularization. The system is indicated for adult and pediatric use. It is intended to be used by trained physicians in

an operating room environment in accordance with the representative, specific procedures set forth in the Professional

Instructions for Use.

The Intuitive Surgical Endoscopic Instrument Control System (da Vinci Surgical System Model IS3000) is intended to

assist in the accurate control of Intuitive Surgical Endoscopic Instruments including rigid endoscopes, blunt and sharp

endoscopic dissectors, scissors, scalpels, forceps/pick-ups, needle holders, endoscopic retractors, electrocautery and

accessories for endoscopic manipulation of tissue, including grasping, cutting, blunt and sharp dissection,

approximation, ligation, electrocautery, suturing, and delivery and placement of microwave and cryogenic ablation

probes and accessories, during urologic surgical procedures, general laparoscopic surgical procedures, gynecologic

laparoscopic surgical procedures, transoral otolaryngology surgical procedures restricted to benign and malignant

tumors classified as T1 and T2, general thoracoscopic surgical procedures and thoracoscopically-assisted cardiotomy

procedures. The system can also be employed with adjunctive mediastinotomy to perform coronary anastomosis during

cardiac revascularization. The system is indicated for adult and pediatric use. It is intended to be used by trained

physicians in an operating room environment in accordance with the representative, specific procedures set forth in the

Professional Instructions for Use.

The Intuitive Surgical Endoscopic Instrument Control System (da Vinci Surgical System, Model 1S4200) is intended to

assist in the accurate control of Intuitive Surgical Endoscopic Instruments including rigid endoscopes, blunt and sharp

endoscopic dissectors, scissors, scalpels, forceps/pick-ups, needle holders, endoscopic retractors, electrocautery and

accessories for endoscopic manipulation of tissue, including grasping, cutting, blunt and sharp dissection, approximation,

ligation, electrocautery, suturing, and delivery and placement of microwave and cryogenic ablation probes and

accessories, during urologic surgical procedures, general laparoscopic surgical procedures, gynecologic laparoscopic

surgical procedures, general thoracoscopic surgical procedures and thoracoscopically-assisted cardiotomy procedures. The

system can also be employed with adjunctive mediastinotomy to perform coronary anastomosis during cardiac

revascularization. The system is indicated for adult and pediatric use. It is intended to be used by trained physicians in

an operating room environment in accordance with the representative, specific procedures set forth in the Professional

Instructions for Use.

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. “K171699: da Vinci Xi Surgical System, da Vinci Si Surgical System, da Vinci X Surgical System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K171699

Report an extraction error

Tell us what is wrong; we check it against the FDA summary.

Are you the manufacturer?

Send a correction or an update to this page, for example a newer model or a public statement about a recall.

Record history
  • FDA decision record loaded May 2, 2026
  • Summary read Oct 13, 2026 (extraction version 9eaa42aa01ed)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026