| Brand Name | PRESSIO ICP MONITORING KIT, PARENCHYMAL WITH BOLT |
| Common Device Name | ICP MONITORING CATHETER |
| Manufacturer (Section D) |
| SOPHYSA |
| 5 rue guy môquet |
| orsay, 91400 |
| FR 91400 |
|
| Manufacturer (Section G) |
| SOPHYSA |
| rue sophie germain |
| technopôle temis |
| besançon, 25000 |
|
FR
25000
|
|
| Manufacturer Contact |
|
julie
lopez
|
| 5 rue guy môquet |
| orsay, 91400
|
|
FR
91400
|
|
| MDR Report Key | 23476514 |
| Report Number | 3001587388-2025-00112 |
| Device Sequence Number | 18724429 |
| Product Code |
GWM
|
| UDI-Device Identifier | 03760124130768 |
| UDI-Public | (01)03760124130768(11)250411(17)300201 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | FR |
| PMA/510(K) Number | K162108 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Device Implanted Year | 2025 |
| Serviced by Third Party (Y/N) | Unknown |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional,User Facility |
| Initial Reporter Occupation |
Pharmacist
|
| Remedial Action |
Replace |
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
06/12/2026 |
| 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 Model Number | PSO-PB |
| Device Catalogue Number | PSO-PB |
| Was Device Available for Evaluation? |
Device Returned to Manufacturer
|
| Is the Reporter a Health Professional? |
Yes
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 10/22/2025 |
| Supplement Date Received by Manufacturer | 10/22/2025
|
| Initial Report FDA Received Date | 11/05/2025 |
| Supplement Report FDA Received Date | 06/12/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 04/11/2025 |
| Is the Device Labeled for Single Use? (Y/N) |
Yes
|
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Usage of Device |
Initial
|
If action reported to FDA under 21 USC 360i(g), list FDA-assigned Recall Number or include a statement | CAPA 2025-04 |
| Patient Sequence Number | 1 |
| Outcome Attributed to Adverse Event |
Other;
|
| Patient Age | 68 YR |
| Patient Sex | Male |
|
|