| Brand Name | FREECLIMB 70 REPERFUSION CATHETER WITH TENZING 7 |
| Common Device Name | PERCUTANEOUS CATHETER |
| Manufacturer (Section D) |
| ROUTE 92 MEDICAL, INC. |
| 155 bovet road suite 100 |
| san mateo CA 94402 |
|
| Manufacturer (Section G) |
| ROUTE 92 MEDICAL, INC. |
| 155 bovet suite 100 |
|
| san mateo CA 94402 |
|
| Manufacturer Contact |
|
matthew
fortson
|
| 155 bovet road suite 100 |
| san mateo, CA 94402
|
|
| MDR Report Key | 24437726 |
| Report Number | 3016522967-2026-00001 |
| Device Sequence Number | 10212780 |
| Product Code |
NRY
|
| UDI-Device Identifier | 00853799007541 |
| UDI-Public | (01)00853799007541(17)271106(10)25110606 |
| Combination Product (Y/N) | N |
| Initial Reporter State | NV |
| Initial Reporter Country | US |
| PMA/510(K) Number | K223530 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional,Company Representative |
| Initial Reporter Occupation |
Other Health Care Professional
|
| Type of Report
| Initial |
| Report Date (Section B) |
02/23/2026 |
| 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? |
Yes
|
| Operator of Device |
Health Professional
|
| Device Catalogue Number | 7001-70-132R |
| Device Lot Number | 25110606 |
| Was Device Available for Evaluation? |
Device Returned to Manufacturer
|
| Date Returned to Manufacturer | 02/02/2026 |
| Is the Reporter a Health Professional? |
Yes
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 01/24/2026 |
| Initial Report FDA Received Date | 02/24/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 11/06/2025 |
| 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
|
| Patient Sequence Number | 1 |
Concomitant Medical Products and Therapy/Usage Dates | 7F GUIDE SHEATH.; FREECLIMB 54.; FREECLIMB 70.; TREVO. |
| Patient Sex | Unknown |