| Brand Name | AXS VECTA 074 CATH 132CM - US |
| Common Device Name | CATHETER, PERCUTANEOUS, NEUROVASCULATURE |
| Manufacturer (Section D) |
| STRYKER NEUROVASCULAR-CALIF |
| 47900 bayside parkway |
| fremont CA 94538 |
|
| Manufacturer (Section G) |
| STRYKER NEUROVASCULAR-CALIF |
| 47900 bayside parkway |
|
| fremont CA 94538 |
|
| Manufacturer Contact |
|
tara
lopez
|
| 47900 bayside parkway |
| fremont, CA 94538
|
|
5104132500
|
|
| MDR Report Key | 24730141 |
| Report Number | 3008853977-2026-00009 |
| Device Sequence Number | 15756687 |
| Product Code |
QJP
|
| UDI-Device Identifier | 07613327459265 |
| UDI-Public | (01)07613327459265(17)270407(10)24020-01 |
| Combination Product (Y/N) | N |
| Initial Reporter State | OR |
| Initial Reporter Country | US |
| PMA/510(K) Number | K200206 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional |
| Initial Reporter Occupation |
Physician
|
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
06/16/2026 |
| 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 Catalogue Number | INC-11597-132 |
| Device Lot Number | 24020-01 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
Yes
|
| Type of Report(Section G) | Follow-Up |
| Initial Date Received by Manufacturer | 03/06/2026 |
| Supplement Date Received by Manufacturer | 05/26/2026
|
| Initial Report FDA Received Date | 03/30/2026 |
| Supplement Report FDA Received Date | 06/16/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 04/09/2024 |
| 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 |