| Brand Name | VALKYRIE® - POWER DRIVER |
| Common Device Name | INSTRUMENT, SURGICAL, ORTHOPEDIC, DC-POWERED MOTOR AND ACCESSORY/ATTACHMENT |
| Manufacturer (Section D) |
| JEIL MEDICAL CORPORATION |
| 812-ho, 55, digital-ro 34-gil |
| guro-gu |
| seoul, 08378 |
| KS 08378 |
|
| Manufacturer (Section G) |
| JEIL MEDICAL CORPORATION |
| 812-ho, 55, digital-ro 34-gil |
| guro-gu |
| seoul, 08378 |
|
KS
08378
|
|
| Manufacturer Contact |
|
jisoo
koh
|
| 812-ho, 55, digital-ro 34-gil |
| guro-gu |
| seoul, 08378
|
|
KS
08378
|
|
| MDR Report Key | 24218420 |
| Report Number | 3004049923-2026-00001 |
| Device Sequence Number | 18451252 |
| Product Code |
KIJ
|
| UDI-Device Identifier | 08806390899796 |
| UDI-Public | (01)08806390899796(10)250021-1345(17)280223 |
| Combination Product (Y/N) | N |
| Initial Reporter State | TX |
| Initial Reporter Country | US |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional |
| Initial Reporter Occupation |
Other
|
| Type of Report
| Initial |
| Report Date (Section B) |
01/29/2026 |
| 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 | 01-03-3035 |
| Device Lot Number | 250021-1345 |
| Was Device Available for Evaluation? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 01/26/2026 |
| Initial Report FDA Received Date | 01/29/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 03/31/2025 |
| 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 |
Unknown
|
| Patient Sequence Number | 1 |
| Outcome Attributed to Adverse Event |
Other;
|
| Patient Sex | Unknown |
|
|