| Brand Name | NEOVEIL(SHEET) |
| Common Device Name | MESH, SURGICAL, ABSORBABLE, STAPLE LINE REINFORCEMENT |
| Manufacturer (Section D) |
| GUNZE LIMITED |
| 46 natsumegaichi, aono |
| ayabe, kyoto 623-8 513 |
| JA 623-8513 |
|
| Manufacturer (Section G) |
| GUNZE LIMITED |
| 46, natsumegaichi, aono |
|
| ayabe, kyoto 623-8 513 |
|
JA
623-8513
|
|
| Manufacturer Contact |
|
hidetoshi
arimura
|
| jrwd dojima tower 5f, 2-4-27 |
| dojima, kita-ku, osaka 530-0-003
|
|
JA
530-0003
|
|
| MDR Report Key | 23881810 |
| Report Number | 3010668881-2025-00006 |
| Device Sequence Number | 9622543 |
| Product Code |
OXC
|
| UDI-Device Identifier | 04548366322528 |
| UDI-Public | 04548366322528 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | JA |
| PMA/510(K) Number | K130997 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Foreign,Health Professional |
| Initial Reporter Occupation |
Physician
|
| Type of Report
| Initial |
| Report Date (Section B) |
12/23/2025 |
| 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
|
| Operator of Device |
Health Professional
|
| Device Model Number | NV-M-015G |
| Device Lot Number | 25032602 |
| 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 | 10/28/2025 |
| Initial Report FDA Received Date | 12/23/2025 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| 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
|
| Patient Sequence Number | 1 |
| Patient Sex | Unknown |
|
|