510(k) Report

510(k) · Cleared

Cleared

780 nm SPY Portable Handheld Imaging (SPY-PHI) System

K261037510(k) TraditionalCleared May 28, 202659-day reviewClass II21 CFR 892.1600

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Stryker Endoscopy · IZI System, X-Ray, Angiographic

Cleared on May 28, 2026 as substantially equivalent to K230727 (Novadaq Technologies Ulc (A Part of Stryker), 2023) and 1 other predicate after a 59-day review. Its family tree reaches back 25 generations to 1994. 3 of the 179 devices in its family, counting itself, have a Class I recall.

Decided
May 28, 2026
Review
59 days
Class
Class II
Product code
IZI
Recalls
None
Predicates
2

Its longest line of descent runs back 25 generations to K930667 (1994). 178 ancestors in all, the oldest K811390 (1981). No later device cites it as a predicate yet. 3 of the 179 devices in this family, counting this one, have a Class I recall.

Other ancestors, by year cleared 2023: 2 other ancestors2020: 2 other ancestors2018: 3 other ancestors2012: 2 other ancestors2022: 1 other ancestor2019: 3 other ancestors2010: 1 other ancestor2008: 6 other ancestors2006: 8 other ancestors, 1 with a Class I recall12017: 3 other ancestors2014: 4 other ancestors2011: 2 other ancestors2009: 1 other ancestor2007: 4 other ancestors2005: 6 other ancestors2003: 4 other ancestors, 1 with a Class I recall12002: 7 other ancestors2013: 4 other ancestors2004: 5 other ancestors2001: 9 other ancestors2000: 5 other ancestors1998: 6 other ancestors1996: 5 other ancestors1993: 5 other ancestors1991: 7 other ancestors, 1 with a Class I recall11999: 8 other ancestors1997: 13 other ancestors1995: 9 other ancestors1994: 4 other ancestors1992: 4 other ancestors1986: 2 other ancestors1985: 2 other ancestors2016: 1 other ancestor2015: 3 other ancestors1988: 1 other ancestor1981: 1 other ancestorReference device: K210265 · VS3 Iridium Sytem · Visionsense, Ltd. · 2021Reference device: K223020 · VS3-Iridium System (VS3-IR) · Visionsense, Ltd. · 2022K930667 · Reusable Laparoscopic Instruments · Snowden-Pencer · 1994 · recalledK960400 · Diamond-Touch and Micro Diamond-Touch Instruments/Diamond-Line Instruments/Diamond-Port (Access Parts) · Snowden-Pencer · 1996K990144 · Intuitive Surgical Endoscopic Instruments, Intuitive Surgical Endoscopic Instrument Control System · Intuitive Surgical, Inc. · 2000 · recalledK021036 · Intuitive Surgical DA Vinci Surgical System, Model IS1000 · Intuitive Surgical, Inc. · 2002 · recalled×5: 5 generations cleared close together, K040237 (2004), K043153 (2004), K050005 (2005), K050404 (2005), K050802 (2005) K063220 · DA Vinci S Surgical System-V1.1, Model IS2000 · Intuitive Surgical, Inc. · 2006 · recalledK081137 · Intuitive Surgical DA Vinci SI Surgical System: Model IS3000 · Intuitive Surgical, Inc. · 2009 · recalledK090993 · Intuitive Surgical Endoscopic Instrument Control Systems, Models IS1200, IS2000 and IS3000 · Intuitive Surgical, Inc. · 2009 · recalledK123463 · Intuitive Surgical DA Vinci SI Surgical System Smartpedals · Intuitive Surgical, Inc. · 2012 · recalled×2: 2 generations cleared close together, K131861 (2014), K141077 (2014) ×2: 2 generations cleared close together, K150956 (2016), K161792 (2016) K182160 · 1688 Camera Control Unit ; 1688 AIM 4K Camera Head, C-Mount ; 1688 AIM 4K Camera Head with Integrated Coupler ; AIM 4K Coupler, 20mm, C-Mount ; L11 LED Light Source with AIM · Stryker · 2018 · recalledK202592 · Adavanced Imaging Modality System (1688 4K Camera System With Advanced Imaging Modality, L11 LED Light Source with Adavanced Imaging Modality) · Stryker · 2020×2: 2 generations cleared close together, K210088 (2021), K211202 (2021) K214046 · 780 nm 1688 4K Camera System, 780 nm L11 LED Light Source with AIM and Safelight Cable · Stryker · 2022×3: 3 generations cleared close together, K230216 (2023), K230605 (2023), K231854 (2023) 19801990200020102020
Other ancestors, by generation 1 generation back: 1 other ancestor2 generations back: 5 other ancestors3 generations back: 7 other ancestors, 1 with a Class I recall14 generations back: 13 other ancestors, 1 with a Class I recall15 generations back: 29 other ancestors, 1 with a Class I recall16 generations back: 24 other ancestors7 generations back: 17 other ancestors8 generations back: 16 other ancestors9 generations back: 21 other ancestors10 generations back: 10 other ancestors11 generations back: 7 other ancestors12 generations back: 3 other ancestors K231854 · 1788 4K Camera System with Advanced Imaging Modality; L12 LED Light Source with AIM · Stryker · 2023K230605 · 1788 4K Camera System with Advanced Imaging Modality · Stryker · 2023K230216 · 1688 4K Camera Control Unit with Advanced Imaging Modality (1688010000) · Stryker · 2023K214046 · 780 nm 1688 4K Camera System, 780 nm L11 LED Light Source with AIM and Safelight Cable · Stryker · 2022K211202 · 1688 4K Camera System, L11 LED Light Source with AIM, AIM SafeLight Cable, Precision S 4K Sinuscopes · Stryker · 2021K210088 · 1688 4K Camera System, L11 LED Light Source with AIM, AIM SafeLight Cable, AIM Laparoscopes · Stryker · 2021K202592 · Adavanced Imaging Modality System (1688 4K Camera System With Advanced Imaging Modality, L11 LED Light Source with Adavanced Imaging Modality) · Stryker · 2020K182160 · 1688 Camera Control Unit ; 1688 AIM 4K Camera Head, C-Mount ; 1688 AIM 4K Camera Head with Integrated Coupler ; AIM 4K Coupler, 20mm, C-Mount ; L11 LED Light Source with AIM · Stryker · 2018 · recalledK161792 · PINPOINT Endoscopic Fluorescence Imaging System · Novadaq Technologies, Inc. · 2016K150956 · PINPOINT Endoscopic Fluorescence Imaging System · Novadaq Technologies, Inc. · 2016 · recalledK141077 · DA Vinci Firefly Imaging System · Intuitive Surgical, Inc. · 2014 · recalledK131861 · DA Vinci Surgical System, Endowrist Instruments and Accessories · Intuitive Surgical, Inc. · 2014 · recalledK123463 · Intuitive Surgical DA Vinci SI Surgical System Smartpedals · Intuitive Surgical, Inc. · 2012 · recalledK090993 · Intuitive Surgical Endoscopic Instrument Control Systems, Models IS1200, IS2000 and IS3000 · Intuitive Surgical, Inc. · 2009 · recalledK081137 · Intuitive Surgical DA Vinci SI Surgical System: Model IS3000 · Intuitive Surgical, Inc. · 2009 · recalledK063220 · DA Vinci S Surgical System-V1.1, Model IS2000 · Intuitive Surgical, Inc. · 2006 · recalledK050802 · Modification to Intuitive Surgical DA Vinci Surgical System and Endoscopic Instruments · Intuitive Surgical, Inc. · 2005K050404 · Intuitive Surgical DA Vinci Surgical System and Endoscopic Instruments · Intuitive Surgical, Inc. · 2005K050005 · Intuitive Surgical Monopolar Curved Scissors, Model 400179; Tip Cover Accessory, Model 400180 · Intuitive Surgical, Inc. · 2005 · recalledK043153 · Intuitive Surgical DA Vinci Surgical System and Endoscopic Instruments, Models IS1200 & IS1000 · Intuitive Surgical, Inc. · 2004K040237 · Intuitive Surgical DA Vinci Endoscopic Instrument Control System and Endoscopic Instruments · Intuitive Surgical, Inc. · 2004K021036 · Intuitive Surgical DA Vinci Surgical System, Model IS1000 · Intuitive Surgical, Inc. · 2002 · recalledK990144 · Intuitive Surgical Endoscopic Instruments, Intuitive Surgical Endoscopic Instrument Control System · Intuitive Surgical, Inc. · 2000 · recalledK960400 · Diamond-Touch and Micro Diamond-Touch Instruments/Diamond-Line Instruments/Diamond-Port (Access Parts) · Snowden-Pencer · 1996K930667 · Reusable Laparoscopic Instruments · Snowden-Pencer · 1994 · recalled−25−20−15−10−50
  1. Root · 25 generations backK930667 Reusable Laparoscopic InstrumentsSnowden-Pencer · 1994 · Recalled
  2. 21 generations between
  3. 3 generations backK230216 1688 4K Camera Control Unit with Advanced Imaging Modality…Stryker · 2023
  4. 2 generations backK230605 1788 4K Camera System with Advanced Imaging ModalityStryker · 2023
  5. 1 generation backK231854 1788 4K Camera System with Advanced Imaging Modality; L12 LED Light…Stryker · 2023
  6. This deviceK261037 780 nm SPY Portable Handheld Imaging (SPY-PHI) SystemStryker Endoscopy · 2026
Show all 25 generations
  1. Root · 25 generations backK930667 Reusable Laparoscopic InstrumentsSnowden-Pencer · 1994 · Recalled
  2. 24 generations backK960400 Diamond-Touch and Micro Diamond-Touch Instruments/Diamond-Line…Snowden-Pencer · 1996
  3. 23 generations backK990144 Intuitive Surgical Endoscopic Instruments, Intuitive Surgical…Intuitive Surgical, Inc. · 2000 · Recalled
  4. 22 generations backK021036 Intuitive Surgical DA Vinci Surgical System, Model IS1000Intuitive Surgical, Inc. · 2002 · Recalled
  5. 21 generations backK040237 Intuitive Surgical DA Vinci Endoscopic Instrument Control System and…Intuitive Surgical, Inc. · 2004
  6. 20 generations backK043153 Intuitive Surgical DA Vinci Surgical System and Endoscopic…Intuitive Surgical, Inc. · 2004
  7. 19 generations backK050005 Intuitive Surgical Monopolar Curved Scissors, Model 400179; Tip…Intuitive Surgical, Inc. · 2005 · Recalled
  8. 18 generations backK050404 Intuitive Surgical DA Vinci Surgical System and Endoscopic InstrumentsIntuitive Surgical, Inc. · 2005
  9. 17 generations backK050802 Modification to Intuitive Surgical DA Vinci Surgical System and…Intuitive Surgical, Inc. · 2005
  10. 16 generations backK063220 DA Vinci S Surgical System-V1.1, Model IS2000Intuitive Surgical, Inc. · 2006 · Recalled
  11. 15 generations backK081137 Intuitive Surgical DA Vinci SI Surgical System: Model IS3000Intuitive Surgical, Inc. · 2009 · Recalled
  12. 14 generations backK090993 Intuitive Surgical Endoscopic Instrument Control Systems, Models…Intuitive Surgical, Inc. · 2009 · Recalled
  13. 13 generations backK123463 Intuitive Surgical DA Vinci SI Surgical System SmartpedalsIntuitive Surgical, Inc. · 2012 · Recalled
  14. 12 generations backK131861 DA Vinci Surgical System, Endowrist Instruments and AccessoriesIntuitive Surgical, Inc. · 2014 · Recalled
  15. 11 generations backK141077 DA Vinci Firefly Imaging SystemIntuitive Surgical, Inc. · 2014 · Recalled
  16. 10 generations backK150956 PINPOINT Endoscopic Fluorescence Imaging SystemNovadaq Technologies, Inc. · 2016 · Recalled
  17. 9 generations backK161792 PINPOINT Endoscopic Fluorescence Imaging SystemNovadaq Technologies, Inc. · 2016
  18. 8 generations backK182160 1688 Camera Control Unit ; 1688 AIM 4K Camera Head, C-Mount ; 1688…Stryker · 2018 · Recalled
  19. 7 generations backK202592 Adavanced Imaging Modality System (1688 4K Camera System With…Stryker · 2020
  20. 6 generations backK210088 1688 4K Camera System, L11 LED Light Source with AIM, AIM SafeLight…Stryker · 2021
  21. 5 generations backK211202 1688 4K Camera System, L11 LED Light Source with AIM, AIM SafeLight…Stryker · 2021
  22. 4 generations backK214046 780 nm 1688 4K Camera System, 780 nm L11 LED Light Source with AIM…Stryker · 2022
  23. 3 generations backK230216 1688 4K Camera Control Unit with Advanced Imaging Modality…Stryker · 2023
  24. 2 generations backK230605 1788 4K Camera System with Advanced Imaging ModalityStryker · 2023
  25. 1 generation backK231854 1788 4K Camera System with Advanced Imaging Modality; L12 LED Light…Stryker · 2023
  26. This deviceK261037 780 nm SPY Portable Handheld Imaging (SPY-PHI) SystemStryker Endoscopy · 2026

Class I recalls in this family

View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−25K930667Reusable Laparoscopic InstrumentsSnowden-Pencer199415
−24K960400Diamond-Touch and Micro Diamond-Touch Instruments/Diamond-Line…Snowden-Pencer1996—
−23K990144Intuitive Surgical Endoscopic Instruments, Intuitive Surgical Endoscopic…Intuitive Surgical, Inc.20003
−22K021036Intuitive Surgical DA Vinci Surgical System, Model IS1000Intuitive Surgical, Inc.200218
−21K040237Intuitive Surgical DA Vinci Endoscopic Instrument Control System and…Intuitive Surgical, Inc.2004—
−20K043153Intuitive Surgical DA Vinci Surgical System and Endoscopic Instruments, Models…Intuitive Surgical, Inc.2004—
−19K050005Intuitive Surgical Monopolar Curved Scissors, Model 400179; Tip Cover…Intuitive Surgical, Inc.20052
−18K050404Intuitive Surgical DA Vinci Surgical System and Endoscopic InstrumentsIntuitive Surgical, Inc.2005—
−17K050802Modification to Intuitive Surgical DA Vinci Surgical System and Endoscopic…Intuitive Surgical, Inc.2005—
−16K063220DA Vinci S Surgical System-V1.1, Model IS2000Intuitive Surgical, Inc.20064
−15K081137Intuitive Surgical DA Vinci SI Surgical System: Model IS3000Intuitive Surgical, Inc.200925
−14K090993Intuitive Surgical Endoscopic Instrument Control Systems, Models IS1200…Intuitive Surgical, Inc.20093
−13K123463Intuitive Surgical DA Vinci SI Surgical System SmartpedalsIntuitive Surgical, Inc.20122
−12K131861DA Vinci Surgical System, Endowrist Instruments and AccessoriesIntuitive Surgical, Inc.201480
−11K141077DA Vinci Firefly Imaging SystemIntuitive Surgical, Inc.20142
−10K150956PINPOINT Endoscopic Fluorescence Imaging SystemNovadaq Technologies, Inc.20161
−9K161792PINPOINT Endoscopic Fluorescence Imaging SystemNovadaq Technologies, Inc.2016—
−8K1821601688 Camera Control Unit ; 1688 AIM 4K Camera Head, C-Mount ; 1688 AIM 4K…Stryker20181
−7K202592Adavanced Imaging Modality System (1688 4K Camera System With Advanced Imaging…Stryker2020—
−6K2100881688 4K Camera System, L11 LED Light Source with AIM, AIM SafeLight Cable, AIM…Stryker2021—
−5K2112021688 4K Camera System, L11 LED Light Source with AIM, AIM SafeLight Cable…Stryker2021—
−4K214046780 nm 1688 4K Camera System, 780 nm L11 LED Light Source with AIM and…Stryker2022—
−3K2302161688 4K Camera Control Unit with Advanced Imaging Modality (1688010000)Stryker2023—
−2K2306051788 4K Camera System with Advanced Imaging ModalityStryker2023—
−1K2318541788 4K Camera System with Advanced Imaging Modality; L12 LED Light Source…Stryker2023—
0 (this device)K261037780 nm SPY Portable Handheld Imaging (SPY-PHI) SystemStryker Endoscopy2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198110
198520
198620
198810
199171
199240
199350
199440
199590
199650
1997130
199860
199980
200050
200190
200270
200341
200450
200560
200681
200740
200860
200910
201010
201120
201220
201340
201440
201530
201610
201730
201830
201930
202020
202210
202320
FIG. 1 — Lineage of K261037, 1994–2026Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

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Notable FDA decisions, review times and new Class I recalls. See an issue.

Sources: FDA 510(k) database (decision fields), the FDA summary (predicates and indications), FDA recall and enforcement reports, and MAUDE; processed by 510(k) Report. Verify on FDA.gov · Methodology and accuracy.

3 devices in this family have a Class I recall. A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

Top candidate predicates for a new IZI device

  1. #1 K230727 SPY Portable Handheld Imaging (SPY-PHI) Systemscore 23.2 · 20 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
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What was it cleared against? (2)

Devices the submitter claimed this one is substantially equivalent to (*), and reference devices cited for a specific test or feature (†), as written in the FDA summary.

TypeNumberDeviceApplicantDecidedRecalls
*K230727SPY Portable Handheld Imaging (SPY-PHI) System
Summary page 5
…equent Product Code IZI 510(k) Review Panel Radiology Predicate Device: Primary Predicate Device SPY Portable Handheld Imaging (SPY-PHI) K230727 System Secondary Predicate Device 1788 4K Advanced Imaging Modality (AIM) K231854…
Novadaq Technologies Ulc (A Part of Stryker)2023—
*K2318541788 4K Camera System with Advanced Imaging Modality; L12 LED Light Source with AIM
Summary page 5
…Portable Handheld Imaging (SPY-PHI) K230727 System Secondary Predicate Device 1788 4K Advanced Imaging Modality (AIM) K231854 Platform Reference Device Medtronic VS3-Iridium System (VS3-IR) K210265,…
Stryker2023—
†K210265VS3 Iridium SytemVisionsense, Ltd.2021—
†K223020VS3-Iridium System (VS3-IR)Visionsense, Ltd.2022—

Also cleared against K230727: 3 other devices →

What descends from it?

No later submission names this one as a predicate yet.

Has anything in its family been recalled? (3 Class I)

No FDA recall names this device.

Relatives with a Class I recall

Class I is FDA’s most serious recall class. A recall in the family tree is context for this device, not evidence about it.

  • K061313Evis Exera 180 SystemOlympus Medical Systems Corporation · 2006 · 3 generations back · ◆ in the 2006 ancestors bar of FIG. 16 Class I recalls
  • K023984Modification to Olympus Bronchoscopes BF-40 Series, BF-240 Series, and BF-160 SeriesThe Olympus Optical Co. · 2003 · 4 generations back · ◆ in the 2003 ancestors bar of FIG. 114 Class I recalls
  • K912120Urf-P2 Ureterorenofiberscope/CholedochofiberscopeOlympus Corp. · 1991 · 5 generations back · ◆ in the 1991 ancestors bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 32 years and passes through 5 companies; a new generation was cleared every 10 months on median.
  • 57 of the 178 ancestors have a recall of any class; 3 have a Class I recall.
  • 3 other devices also cite its predicate K230727.

How does its category compare?

All IZI devices

IZI System, X-Ray, Angiographic: FDA decisions, review times, recalls and adverse event reports over 20 years. 2026, this device’s year, is highlighted.

FDA decisions per year · IZI

2in 2025

2007: 72008: 62009: 22010: 22011: 42012: 12013: 12014: 42016: 12017: 22018: 22019: 22020: 12021: 12022: 12023: 32024: 22025: 22026 (partial year): 2
2007high 7 (2007) · low 0 (2015)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · IZI

81in 2023

2007: 28 days median2008: 68 days median2011: 104 days median2014: 111 days median2023: 81 days median
2007high 111 (2014) · low 28 (2007)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · IZI

1in 2021

2007: 62008: 522009: 182010: 112011: 62012: 62013: 62014: 52015: 142016: 72017: 12018: 22019: 22020: 22021: 12026 (partial year): 1
2007high 52 (2008) · low 0 (2022)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · IZI

2,171in 2025

2007: 922008: 1012009: 1322010: 2522011: 3772012: 772013: 582014: 1232015: 362016: 1022017: 882018: 492019: 302020: 142021: 292022: 2652023: 1,2042024: 1,3322025: 2,171
2007high 2,171 (2025) · low 14 (2020)2025

MAUDE reports naming product code IZI, not matched to any one device; reports are not rates.

View these four charts as a table
YearDecisionsMedian 510(k) review, daysRecalls (Class I)MAUDE reports
2007728692
200866852101
20092—18132
20102—11252
201141046377
20121—677
20131—658
201441115123
20150—1436
20161—7102
20172—188
20182—249
20192—230
20201—214
20211—129
20221—0265
202338101,204
20242—01,332
20252—02,171
20262—1—

What is it indicated for?

Upon intravenous administration of SPY AGENT GREEN (indocyanine green for injection, USP), the 780 nm SPY-PHI System is used with SPY AGENT GREEN to perform intraoperative fluorescence angiography. The 780 nm SPY-PHI System is indicated for use in adult and pediatric patients one month of age and older. The 780 nm SPY-PHI System is indicated for fluorescence imaging of blood flow and tissue perfusion before, during, and after: vascular, gastrointestinal…

Read the full statement (184 words)

Upon intravenous administration of SPY AGENT GREEN (indocyanine green for injection, USP), the 780 nm SPY-PHI System is used with SPY AGENT GREEN to perform intraoperative fluorescence angiography. The 780 nm SPY-PHI System is indicated for use in adult and pediatric patients one month of age and older.

The 780 nm SPY-PHI System is indicated for fluorescence imaging of blood flow and tissue perfusion before, during, and after: vascular, gastrointestinal, organ transplant, and plastic, micro- and reconstructive surgical procedures.

Upon interstitial administration of SPY AGENT GREEN, the 780 nm SPY-PHI System is used to perform intraoperative fluorescence imaging and visualization of the lymphatic system, including lymphatic vessels and lymph nodes.

Upon intradermal administration of SPY AGENT GREEN, the 780 nm SPY-PHI System is indicated for fluorescence imaging of lymph nodes and delineation of lymphatic vessels during lymphatic mapping in adults with breast cancer for which this procedure is a component of intraoperative management.

Upon administration and use of pafolacianine consistent with its approved label, the 780 nm SPY-PHI System is used to perform intraoperative fluorescence imaging of tissues that have taken up the drug.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K261037: 780 nm SPY Portable Handheld Imaging (SPY-PHI) System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K261037

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Record history
  • FDA decision record loaded Oct 30, 2026
  • Summary read Oct 30, 2026 (extraction version 2d9447fa9ea4)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026