510(k) Report

510(k) · Cleared

Cleared

da Vinci S/Si (IS2000/IS3000) 5mm and 8mm Reusable Instruments, da Vinci Xi/X (IS4000/IS4200) 8mm Reusable Instruments

K203632510(k) TraditionalCleared Feb 10, 202161-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 Feb 10, 2021 as substantially equivalent to K170644 (Intuitive Surgical, Inc., 2017) and 1 other predicate after a 61-day review. Its family tree reaches back 1 generation to 2017. 6 later devices descend from it.

Decided
Feb 10, 2021
Review
61 days
Class
Class II
Product code
NAY
Recalls
None
Predicates
2

Its longest line of descent runs back 1 generation to K170644 (2017). 2 ancestors in all. 6 later devices descend from it, 6 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2017: 1 other ancestor2025: 4 descendants cleared2024: 1 descendant cleared2022: 1 descendant clearedK170644 · da Vinci S/Si EndoWrist Instruments and Accessories, Harmonic ACE Curved Shears (5mm & 8mm) · Intuitive Surgical, Inc. · 2017201620182020202220242026
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor 1 generation forward: 6 descendants K170644 · da Vinci S/Si EndoWrist Instruments and Accessories, Harmonic ACE Curved Shears (5mm & 8mm) · Intuitive Surgical, Inc. · 20170
  1. Root · 1 generation backK170644 da Vinci S/Si EndoWrist Instruments and Accessories, Harmonic ACE…Intuitive Surgical, Inc. · 2017
  2. This deviceK203632 da Vinci S/Si (IS2000/IS3000) 5mm and 8mm Reusable Instruments, da…Intuitive Surgical, Inc. · 2021
  3. Descendant · cites it directly · 0 of its ownK250417 Remanufactured EndoWrist Cobra Grasper (420190)Rebotix · 2025
  4. Descendant · cites it directly · 0 of its ownK250539 Remanufactured EndoWrist Tenaculum Forceps (420207)Rebotix · 2025
  5. Descendant · cites it directly · 0 of its ownK250387 Remanufactured EndoWrist Long Tip Forceps (420048)Rebotix · 2025
  6. Descendant · cites it directly · 0 of its ownK250399 Remanufactured EndoWrist Cadiere Forceps (420049)Rebotix · 2025
  7. Descendant · cites it directly · 0 of its ownK241872 Remanufactured EndoWrist ProGrasp Forceps (420093)Rebotix · 2024

Showing 5 of 6 descendants. See all descendants

Descendants cleared per year

2022: 12024: 12025: 4
2022high 4 (2025) · low 0 (2023)2026

Most influential descendants

Showing 5 of 6 · See all
  • K250417Remanufactured EndoWrist Cobra Grasper (420190)Rebotix · 2025 · cites it directly0descendants
  • K250539Remanufactured EndoWrist Tenaculum Forceps (420207)Rebotix · 2025 · cites it directly0descendants
  • K250387Remanufactured EndoWrist Long Tip Forceps (420048)Rebotix · 2025 · cites it directly0descendants
  • K250399Remanufactured EndoWrist Cadiere Forceps (420049)Rebotix · 2025 · cites it directly0descendants
  • K241872Remanufactured EndoWrist ProGrasp Forceps (420093)Rebotix · 2024 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K170644da Vinci S/Si EndoWrist Instruments and Accessories, Harmonic ACE Curved…Intuitive Surgical, Inc.2017—
0 (this device)K203632da Vinci S/Si (IS2000/IS3000) 5mm and 8mm Reusable Instruments, da Vinci Xi/X…Intuitive Surgical, Inc.2021—
+1K250417Remanufactured EndoWrist Cobra Grasper (420190)Rebotix2025—
+1K250539Remanufactured EndoWrist Tenaculum Forceps (420207)Rebotix2025—
+1K250387Remanufactured EndoWrist Long Tip Forceps (420048)Rebotix2025—
+1K250399Remanufactured EndoWrist Cadiere Forceps (420049)Rebotix2025—
+1K241872Remanufactured EndoWrist ProGrasp Forceps (420093)Rebotix2024—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
201710

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202210
202410
202540
FIG. 1 — Lineage of K203632, 2017–2025Source: 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.

Planning a device in NAY? 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? (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
*K170644da Vinci S/Si EndoWrist Instruments and Accessories, Harmonic ACE Curved Shears (5mm &…
Summary page 6
…Class II, 21 CFR 876.1500 Product Codes NAY Review Panel General and Plastic Surgery Predicate K170644 (Clearance of Reprocessing Instructions for da Vinci S and Si Devices Reusable Instruments)…
Intuitive Surgical, Inc.2017—
*K170645da Vinci Xi EndoWrist Instruments and Accessories
Summary page 7
…sification Class II, 21 CFR 876.1500 Product Codes NAY, GCJ Review Panel General and Plastic Surgery Predicate Devices K170645 (Clearance of Reprocessing Instructions for da Vinci Xi 8mm Reusable Instruments)…
Intuitive Surgical, Inc.2017—

Also cleared against K170644: 1 other device →

What descends from it? (6)

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

NumberDeviceApplicantDecidedDescendants
K250417Remanufactured EndoWrist Cobra Grasper (420190)Rebotix20250
K250539Remanufactured EndoWrist Tenaculum Forceps (420207)Rebotix20250
K250387Remanufactured EndoWrist Long Tip Forceps (420048)Rebotix20250
K250399Remanufactured EndoWrist Cadiere Forceps (420049)Rebotix20250
K241872Remanufactured EndoWrist ProGrasp Forceps (420093)Rebotix20240
K214095da Vinci X/Xi (IS4200/IS4000) 8mm Reusable InstrumentsIntuitive Surgical, Inc.20220

Has anything in its family been recalled? (0 Class I)

No FDA recall names this device.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • None of the 2 ancestors has a recall.
  • Of its descendants, K250417 (Rebotix, 2025) has gone furthest, with 0 descendants of its own.
  • 1 other device also cites its predicate K170644.

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. 2021, 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 is intended to assist in the accurate control of Intuitive Surgical Endoscopic Instruments including rigid endoscopes, blunt and sharp endoscopic dissectors, scissors, scalpels, ultrasonic shears, forceps/pick-ups, needle holders, endoscopic retractors, stabilizers, electrocautery and accessories for endoscopic manipulation of tissue, including grasping, cutting, blunt and sharp dissection…

Read the full statement (466 words)

The Intuitive Surgical Endoscopic Instrument Control System is intended to assist in the accurate control of Intuitive Surgical Endoscopic Instruments including rigid endoscopes, blunt and sharp endoscopic dissectors, scissors, scalpels, ultrasonic shears, forceps/pick-ups, needle holders, endoscopic retractors, stabilizers, 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 TI and T2, and for benign base of tongue resection 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 (except for transoral otolaryngology surgical procedures). 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 IS4000) 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 X Surgical System, Model IS4200) 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 as stated in the FDA summary.

Cite this page

510(k) Report. “K203632: da Vinci S/Si (IS2000/IS3000) 5mm and 8mm Reusable Instruments, da Vinci Xi/X (IS4000/IS4200) 8mm Reusable Instruments.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K203632

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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