MAUDE Adverse Event Report: STRYKER ENDOSCOPY-SAN JOSE FG SAFELIGHT FIBER OPTIC CABLE WITH ADVANCED IMAGING MODALITY 5 MM; CONFOCAL OPTICAL IMAGING

Catalog Number	0233050400
Medical Device Problem Codes	Electrical Power Problem (2925); Output Problem (3005); Temperature Problem (3022)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	12/03/2024
Type of Reportable Event	Malfunction
Additional Manufacturer Narrative
Additional information will be provided once the investigation has been completed.The device manufacturer date is not known at this time.However, should it become available it will be provided in future reports.
Event or Problem Description
It was reported that there was loss of light and a thermal event.
Event or Problem Description
It was reported that there was loss of light and a thermal event.
Additional Manufacturer Narrative
The product has been physically received at stryker endoscopy, usa.The investigation isas follows.Alleged failure: it was reported that the cable is not being recognized as a safelight and remains on even when attached to the adapter and periodically put the l11 in standby mode while in use.The unit recognizes the cable as standard and not safelight.The failure(s) identified in the investigation is consistent with the complaint record.The probable root cause/s could be a reed switch.Ifu states the following: test the device function prior to use.If there is any sign of malfunction, the device should not be used and returned to stryker for repair evaluation.The product was returned for investigation and the failure mode will be monitored for future reoccurrence.

• Brand Name: FG SAFELIGHT FIBER OPTIC CABLE WITH ADVANCED IMAGING MODALITY 5 MM
• Common Device Name: CONFOCAL OPTICAL IMAGING
• Manufacturer (Section D): STRYKER ENDOSCOPY-SAN JOSE; 5900 optical court; san jose CA 95138
• Manufacturer (Section G): STRYKER ENDOSCOPY-SAN JOSE; 5900 optical court; san jose CA 95138
• Manufacturer Contact: benjamin ly ; 5900 optical court; san jose, CA 95138 ; 4087542000
• MDR Report Key: 21028043
• Report Number: 0002936485-2024-01001
• Device Sequence Number: 11754448
• Product Code: OWN
• UDI-Device Identifier: 07613327462777
• UDI-Public: 07613327462777
• Combination Product (Y/N): N
• Initial Reporter Country: CA
• PMA/510(K) Number: K192292
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Company Representative
• Initial Reporter Occupation: Other
• Type of Report: Initial,Followup
• Report Date (Section B): 05/16/2025

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Operator of Device: Health Professional
• Device Catalogue Number: 0233050400
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Is the Reporter a Health Professional?: No
• Type of Report(Section G): Initial
• Initial Date Received by Manufacturer: 12/04/2024
• Supplement Date Received by Manufacturer: 04/18/2025
• Initial Report FDA Received Date: 12/27/2024
• Supplement Report FDA Received Date: 05/16/2025
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Is the Device Labeled for Single Use? (Y/N): No
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Reuse
• Patient Sequence Number: 1
• Patient Sex: Unknown