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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: Novadaq Technologies Pinpoint Laparoscope - 10mm Standard 45 with Wolf and Storz adaptor; Laparoscope, General & Plastic Surgery

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Novadaq Technologies Pinpoint Laparoscope - 10mm Standard 45 with Wolf and Storz adaptor; Laparoscope, General & Plastic Surgery Back to Search Results
Catalog Number SC9144
Medical Device Problem Code Fogging (1253)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 08/11/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that there was foggy image.
 
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.
 
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Brand Name
Pinpoint Laparoscope - 10mm Standard 45 with Wolf and Storz adaptor
Common Device Name
Laparoscope, General & Plastic Surgery
Manufacturer (Section D)
Novadaq Technologies
8329 eastlake drive, unit 101
burnaby
british columbia V5A 4 W2
CA  V5A 4W2
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 Key50681743
Report Number3012345110-2026-00003
Device Sequence Number5166886
Product Code GCJ
UDI-Device Identifier00858701006070
UDI-Public00858701006070
Combination Product (Y/N)N
Initial Reporter StateWI
Initial Reporter CountryUS
PMA/510(K) Number
K091515
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Company Representative
Type of Report Initial
Report Date (Section B) 09/08/2026
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 NumberSC9144
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? No
Initial Date Received by Manufacturer 08/11/2026
Initial Report FDA Received Date09/09/2026
Was Device Evaluated by Manufacturer? (Y/N) No
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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