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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: Stryker Endoscopy-San Jose PKG 1688 CAMERA CONTROL UNIT CCU; Laparoscope, General & Plastic Surgery

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Stryker Endoscopy-San Jose PKG 1688 CAMERA CONTROL UNIT CCU; Laparoscope, General & Plastic Surgery Back to Search Results
Catalog Number 1688010000
Medical Device Problem Codes No Display/Image (1183); No Device Output (1435)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 06/18/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Additional information will be provided once the investigation has been completed.
 
Event or Problem Description
It was reported that the unit losing power and turning off during the case.Therefore, there was loss of image.
 
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Brand Name
PKG 1688 CAMERA CONTROL UNIT CCU
Common Device Name
Laparoscope, General & Plastic Surgery
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
arsalan rizvi
5900 optical court
san jose, CA 95138
+1(408)754-2000
MDR Report Key25847444
Report Number0002936485-2026-00489
Device Sequence Number10582080
Product Code GCJ
UDI-Device Identifier07613327420081
UDI-Public(01)07613327420081
Combination Product (Y/N)N
Initial Reporter StatePA
Initial Reporter CountryUS
PMA/510(K) Number
K182160
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Company Representative
Type of Report Initial,Followup
Report Date (Section B) 09/18/2026
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 Number1688010000
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Was the Report Sent to FDA? No
Type of Report(Section G)Initial
Initial Date Received by Manufacturer 06/18/2026
Supplement Date Received by Manufacturer08/20/2026
Initial Report FDA Received Date07/16/2026
Supplement Report FDA Received Date09/18/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured04/01/2021
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 Number1
Patient SexUnknown
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