| Brand Name | TEMNO ELITE¿ |
| Common Device Name | INSTRUMENT, BIOPSY |
| Manufacturer (Section D) |
| MERIT MEDICAL SYSTEMS, INC. |
| calle, sor juana inés de la cr |
| roberto de la madrid |
| tijuana, b.c. 22630 |
| MX 22630 |
|
| Manufacturer (Section G) |
| MERIT MEDICAL SYSTEMS, INC. |
| calle, sor juana inés de la cr |
| roberto de la madrid |
| tijuana, b.c. 22630 |
|
MX
22630
|
|
| Manufacturer Contact |
|
adrian
cole
|
| 1600 merit parkway |
| south jordan, UT 84095
|
|
8012084225
|
|
| MDR Report Key | 23718203 |
| Report Number | 1721504-2025-00645 |
| Device Sequence Number | 10260155 |
| Product Code |
KNW
|
| UDI-Device Identifier | 00884450443583 |
| UDI-Public | 00884450443583 |
| Combination Product (Y/N) | Y |
| Initial Reporter Country | JA |
| PMA/510(K) Number | K201166 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | Unknown |
| Reporter Type |
Manufacturer
|
| Report Source |
Foreign,User Facility,Company Representative |
| Initial Reporter Occupation |
Other
|
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
12/12/2025 |
| 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
|
| Device Catalogue Number | TT1815/B |
| Device Lot Number | I3187812 |
| Was Device Available for Evaluation? |
Device Returned to Manufacturer
|
| Is the Reporter a Health Professional? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 11/13/2025 |
| Supplement Date Received by Manufacturer | 12/11/2025
|
| Initial Report FDA Received Date | 12/04/2025 |
| Supplement Report FDA Received Date | 12/12/2025
|
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 04/03/2025 |
| Is the Device Labeled for Single Use? (Y/N) |
Yes
|
| Usage of Device |
Initial
|
| Patient Sequence Number | 1 |
| Patient Sex | Unknown |
|
|