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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: Stryker Endoscopy-San Jose PKG CONNECTED OR HUB BASE SYSTEM; Laparoscope, general & plastic surgery

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Stryker Endoscopy-San Jose PKG CONNECTED OR HUB BASE SYSTEM; Laparoscope, general & plastic surgery Back to Search Results
Catalog Number 0240200100
Medical Device Problem Code No Display/Image (1183)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 07/01/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that the hub in an or that is continuously shutting down mid case.The hub would shut down during almost every case however all cases were completed successfully.The estimated loss of image to be around 20 seconds per occurrence.Issues were noticed during procedure when the hub would shut down.The same device was used to complete all cases.No medical intervention was needed.No adverse consequences as visualization come back quickly and media was saved.The estimated delay to be about 5 minutes per case if the hub only shut down once.No patient impact was reported.The hub was reported to have the same event occur 10 times.
 
Additional Manufacturer Narrative
Additional information will be provided once the investigation has been completed.
 
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Brand Name
PKG CONNECTED OR HUB BASE SYSTEM
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 Key50060427
Report Number0002936485-2026-00532
Device Sequence Number10656789
Product Code GCJ
UDI-Device Identifier07613327413281
UDI-Public07613327413281
Combination Product (Y/N)N
Initial Reporter StateCO
Initial Reporter CountryUS
PMA/510(K) Number
K222079
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Company Representative
Type of Report Initial
Report Date (Section B) 07/28/2026
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 Number0240200100
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? No
Initial Date Received by Manufacturer 07/01/2026
Initial Report FDA Received Date07/28/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured11/01/2019
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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