| Brand Name | SYNCHRO SELECT-14 STANDARD ST 300CM |
| Common Device Name | GUIDE, WIRE, CATHETER, NEUROVASCULATURE |
| Manufacturer (Section D) |
| STRYKER NEUROVASCULAR-UTAH-SALT LAKE CITY |
| 4870 west 2100 south |
| salt lake city UT 84120 |
|
| Manufacturer (Section G) |
| STRYKER NEUROVASCULAR-UTAH-SALT LAKE CITY |
| 4870 west 2100 south |
|
| salt lake city UT 84120 |
|
| Manufacturer Contact |
|
tara
lopez
|
| 47900 bayside parkway |
| fremont, CA 94538
|
|
5104132500
|
|
| MDR Report Key | 24765986 |
| Report Number | 3012931345-2026-00066 |
| Device Sequence Number | 9349066 |
| Product Code |
MOF
|
| UDI-Device Identifier | 07613327508505 |
| UDI-Public | (01)07613327508505(17)280812(10)0000936218 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | CH |
| PMA/510(K) Number | K202752 |
| 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) |
06/30/2026 |
| 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 | SSTD300STR |
| Device Lot Number | 0000936218 |
| Was Device Available for Evaluation? |
Device Returned to Manufacturer
|
| Is the Reporter a Health Professional? |
Yes
|
| Type of Report(Section G) | Follow-Up |
| Initial Date Received by Manufacturer | 03/13/2026 |
| Supplement Date Received by Manufacturer | 06/11/2026
|
| Initial Report FDA Received Date | 04/02/2026 |
| Supplement Report FDA Received Date | 06/30/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 08/14/2025 |
| 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 | INTERMEDIATE CATHETER (UNKNOWN). |
| Patient Age | 67 YR |
| Patient Sex | Female |
| Patient Race | Asian |