| Brand Name | SMOKE TELE PENCIL COATED PB |
| Common Device Name | Electrosurgical cutting and coagulation device and accessories |
| Manufacturer (Section D) |
| Stryker Instruments-a division of Stryker Corp |
| 1941 stryker way |
| portage MI 49002 |
|
| Manufacturer (Section G) |
| Stryker Instruments-Ireland |
| instruments division |
| carrigtwohill bus. & tech park |
| carrigtwohill NA |
|
EI
NA
|
|
| Manufacturer Contact |
|
kelsey
barla
|
| instruments division |
| carrigtwohill bus. & tech park |
| carrigtwohill NA
|
|
EI
NA
|
|
+353()214532900
|
|
| MDR Report Key | 24894959 |
| Report Number | 3015967359-2026-00237 |
| Device Sequence Number | 9239100 |
| Product Code |
GEI
|
| UDI-Device Identifier | 07613327466331 |
| UDI-Public | (01)07613327466331 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | US |
| PMA/510(K) Number | K182354 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional |
| Initial Reporter Occupation |
Other Health Care Professional
|
| Type of Report
| Initial,Followup,Followup |
| Report Date (Section B) |
08/06/2026 |
| 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 | 0703046004 |
| Device Lot Number | UNKNOWN |
| Was Device Available for Evaluation? |
Yes
|
| Date Returned to Manufacturer | 07/14/2026 |
| Is the Reporter a Health Professional? |
No
|
| Was the Report Sent to FDA? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 04/02/2026 |
| Supplement Date Received by Manufacturer | 06/10/2026 08/05/2026
|
| Initial Report FDA Received Date | 04/16/2026 |
| Supplement Report FDA Received Date | 06/10/2026 08/06/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| 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 |