| Brand Name | PULSAR-18 T3 6/60/135 |
| Common Device Name | STENT, SUPERFICIAL FEMORAL ARTERY |
| Manufacturer (Section D) |
| BIOTRONIK AG |
| ackerstrasse 6 |
| bulach, zurich 8180 |
| SZ 8180 |
|
| Manufacturer (Section G) |
| BIOTRONIK AG |
| ackerstrasse 6 |
|
| bulach, zurich 8180 |
|
SZ
8180
|
|
| Manufacturer Contact |
|
ramona
ergler
|
| ackerstrasse 6 |
| bulach, zurich 8180
|
|
SZ
8180
|
|
| MDR Report Key | 25015188 |
| Report Number | 8043892-2026-04033 |
| Device Sequence Number | 9655277 |
| Product Code |
NIP
|
| UDI-Device Identifier | 07640130446984 |
| UDI-Public | (01)07640130446984(17)280816(10)07252613 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | CH |
| PMA/510(K) Number | P160025 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | Unknown |
| Reporter Type |
Manufacturer
|
| Report Source |
Foreign,User Facility,Company Representative |
| Initial Reporter Occupation |
Other Health Care Professional
|
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
07/01/2026 |
| 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 Model Number | 430500 |
| Device Lot Number | 07252613 |
| Was Device Available for Evaluation? |
Device Returned to Manufacturer
|
| Date Returned to Manufacturer | 04/23/2026 |
| Is the Reporter a Health Professional? |
Yes
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 04/03/2026 |
| Supplement Date Received by Manufacturer | 04/03/2026
|
| Initial Report FDA Received Date | 04/28/2026 |
| Supplement Report FDA Received Date | 07/01/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 08/18/2025 |
| 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 |
| Patient Sex | Unknown |