| Brand Name | MST |
| Common Device Name | MALYUGIN RING 2.0 SYSTEM 7.0 |
| Manufacturer (Section D) |
| MICROSURGICAL TECHNOLOGY INC |
| 8415 154th ave ne |
| redmond WA 98052 |
|
| Manufacturer (Section G) |
| MICROSURGICAL TECHNOLOGY INC |
| 8415 154th ave ne |
|
| redmond WA 98052 |
|
| Manufacturer Contact |
|
yamini
nidumolu
|
| 8415 154th ave ne |
| redmond, WA 98052
|
|
4255560544
|
|
| MDR Report Key | 23889289 |
| Report Number | 3019924-2025-00051 |
| Device Sequence Number | 15818732 |
| Product Code |
HOC
|
| UDI-Device Identifier | 00844685006137 |
| UDI-Public | 00844685006137 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | US |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | Unknown |
| Reporter Type |
Manufacturer
|
| Report Source |
User Facility |
| Initial Reporter Occupation |
Non-Healthcare Professional
|
| Remedial Action |
Replace |
| Type of Report
| Initial |
| Report Date (Section B) |
12/24/2025 |
| 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 | MAL-1002-1 |
| Device Catalogue Number | MAL-1002-1 |
| Device Lot Number | 212110 |
| Was Device Available for Evaluation? |
Device Returned to Manufacturer
|
| Date Returned to Manufacturer | 12/18/2025 |
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 12/08/2025 |
| Initial Report FDA Received Date | 12/24/2025 |
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| 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 |
Unknown
|
| Patient Sequence Number | 1 |
| Patient Sex | Unknown |