FDA Adverse Event Malfunction Summary report: N

PKG L11 LED LIGHT SOURCE WITH AIM

MDR report key: 22074919 · Received May 22, 2025

Report

Report Number
0002936485-2025-00468
Event Type
Malfunction
Date Received
May 22, 2025
Date of Event
April 24, 2025
Report Date
August 11, 2025
Manufacturer
STRYKER ENDOSCOPY-SAN JOSE
Product Code
OWN
UDI-DI
07613327455915
PMA / PMN Number
K182160
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION WILL BE PROVIDED ONCE THE INVESTIGATION HAS BEEN COMPLETED.

Additional Manufacturer Narrative · 0

ALLEGED FAILURE: FLICKERS AND TURNS OFF CONFIRMED FAILURE: HARDWARE UPGRADE (NPF) REPLACE CONTACT ESST SPRING SOFTWARE UPGRADE REPLACE CONTACT RING REINSTALLED SOFTWARE PROBABLE ROOT CAUSE: LIGHT ENGINE MALFUNCTION MAIN BOARD, RECEPTACLE BOARD, OR FRONT BOARD MALFUNCTION DAMAGED OR MISSING ESST SPRING INCORRECT/NO COMMUNICATION WITH 1688 OVERHEATING POWER SUPPLY MALFUNCTION SOFTWARE MALFUNCTION HF/RF INTERFERENCE CYBERSECURITY ATTACK THE PRODUCT WAS RETURNED FOR INVESTIGATION AND THE FAILURE MODE WILL BE MONITORED FOR FUTURE REOCCURRENCE.

Description of Event or Problem · 0

IT WAS REPORTED THAT LIGHT STARTS TO FLICKER AND TURNS OFF. THEREFORE, THERE WAS LOSS OF LIGHT. THE LIGHT CABLE WAS NOT THE ISSUE. THE LIGHT BOX HAD TO BE SWITCHED DURING THE CASE.

Description of Event or Problem · 0

IT WAS REPORTED THAT LIGHT STARTS TO FLICKER AND TURNS OFF. THEREFORE, THERE WAS LOSS OF LIGHT. THE LIGHT CABLE WAS NOT THE ISSUE. THE LIGHT BOX HAD TO BE SWITCHED DURING THE CASE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1071175 PKG L11 LED LIGHT SOURCE WITH AIM CONFOCAL OPTICAL IMAGING OWN STRYKER ENDOSCOPY-SAN JOSE 07613327455915

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown