| Brand Name | CRANISEAL DURAL SEALANT |
| Common Device Name | DURAL SEALANT |
| Manufacturer (Section D) |
| PRAMAND, LLC |
| 201 burlington rd |
| north building, second floor |
| bedford MA 01730 |
|
| Manufacturer (Section G) |
| PRAMAND, LLC |
| 201 burlington rd |
| north building, second floor |
| bedford MA 01730 |
|
| Manufacturer Contact |
|
julia
doroshenko
|
| 201 burlington rd |
| north building, second floor |
| bedford, MA 01730
|
|
7815401626
|
|
| MDR Report Key | 22235758 |
| Report Number | 3016980830-2025-00002 |
| Device Sequence Number | 8185661 |
| Product Code |
NQR
|
| UDI-Device Identifier | 00860010683705 |
| UDI-Public | 00860010683705 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | US |
| PMA/510(K) Number | P220014 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Device Implanted Year | 2025 |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional |
| Initial Reporter Occupation |
Physician
|
| Type of Report
| Initial |
| Report Date (Section B) |
06/17/2025 |
| 1 Device was Involved in the Event |
|
| 1 Patient was Involved in the Event |
|
| Is this an Adverse Event Report? |
Yes
|
| Is this a Product Problem Report? |
No
|
| Device Expiration Date | 04/19/2025 |
| Device Model Number | CS-2055 |
| Device Lot Number | PRA-PD-0102 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
Yes
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 05/20/2025 |
| Initial Report FDA Received Date | 06/17/2025 |
| 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 |
Initial
|
| Patient Sequence Number | 1 |
| Outcome Attributed to Adverse Event |
Hospitalization;
|
| Patient Age | 45 YR |
| Patient Sex | Female |
| Patient Weight | 127 KG |
|
|