| Brand Name | OPTABLATE CURVE 20MM PROBE SINGLE KIT |
| Common Device Name | ELECTROSURGICAL, CUTTING & COAGULATION & ACCESSORIES |
| Manufacturer (Section D) |
| STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP |
| 1941 stryker way |
| portage MI 49002 |
|
| Manufacturer (Section G) |
| STRYKER INSTRUMENTS-FREIBURG |
| boetzingerstr. 41 |
|
| freiburg D-791 11 |
|
GM
D-79111
|
|
| Manufacturer Contact |
|
kelsey
barla
|
| 1941 stryker way |
| portage, MI 49002
|
|
2693237700
|
|
| MDR Report Key | 24816533 |
| Report Number | 3015967359-2026-00214 |
| Device Sequence Number | 13183272 |
| Product Code |
GEI
|
| UDI-Device Identifier | 07613327601145 |
| UDI-Public | (01)07613327601145(17)270820(10)1000610095 |
| Combination Product (Y/N) | N |
| Initial Reporter State | FL |
| Initial Reporter Country | US |
| PMA/510(K) Number | K250327 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional |
| Initial Reporter Occupation |
Risk Manager
|
| Type of Report
| Initial |
| Report Date (Section B) |
04/08/2026 |
| 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 | 9700-120-000 |
| Device Lot Number | 1000610095 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
No
|
| Type of Report(Section G) | Initial |
| Initial Date Received by Manufacturer | 03/16/2026 |
| Initial Report FDA Received Date | 04/08/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| 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 Age | 65 YR |
| Patient Sex | Male |
| Patient Weight | 70 KG |
| Patient Ethnicity | Non Hispanic |
| Patient Race | White |