| Brand Name | ACCURIAN |
| Common Device Name | ELECTROSURGICAL, CUTTING COAGULATION ACCESSORIES |
| Manufacturer (Section D) |
| MEDTRONIC SOFAMOR DANEK, INC. |
| 1800 pyramid place |
| memphis TN 38132 |
|
| MDR Report Key | 25650462 |
| Report Number | 25650462 |
| Device Sequence Number | 12228672 |
| Product Code |
GEI
|
| UDI-Device Identifier | 20763000153582 |
| UDI-Public | (01)20763000153582(17)290528(10)BY25E027 |
| Combination Product (Y/N) | N |
| Initial Reporter State | MT |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
User Facility
|
| Initial Reporter Occupation |
Non-Healthcare Professional
|
| Type of Report
| Initial |
| Report Date (Section B) |
06/23/2026 |
| Report Date (Section F) |
06/23/2026 |
| 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 | AC0010 |
| Device Catalogue Number | AC0010 |
| Device Lot Number | BY25E027 |
| Was Device Available for Evaluation? |
Yes
|
| Was the Report Sent to FDA? |
Yes
|
| Event Location |
Ambulatory Surgical Facility
|
| Date Report to Manufacturer | 06/29/2026 |
| Initial Date Received by Manufacturer | Not provided |
| Initial Report FDA Received Date | 06/29/2026 |
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Usage of Device |
Unknown
|
| Patient Sequence Number | 1 |
| Outcome Attributed to Adverse Event |
Other;
|
| Patient Sex | Unknown |
| Date Report Sent to FDA | 06/23/2026 |