| Brand Name | RUNTHROUGH |
| Common Device Name | WIRE, GUIDE, CATHETER |
| Manufacturer (Section D) |
| TERUMO CORPORATION - ASHITAKA |
| 150 maimaigi-cho |
| fujinomiya city, shizuoka 418-0 015 |
| JA 418-0015 |
|
| Manufacturer (Section G) |
| TERUMO CORPORATION, ASHITAKA |
| reg. no. 9681834 |
| 150 maimaigi-cho |
| fujinomiya city, shizuoka 418-0 015 |
|
JA
418-0015
|
|
| Manufacturer Contact |
|
stephanie
handy
|
| 950 elkton blvd |
| elkton, MD 21921
|
|
9499890491
|
|
| MDR Report Key | 25812973 |
| Report Number | 9681834-2026-00149 |
| Device Sequence Number | 14943384 |
| Product Code |
DQX
|
| UDI-Device Identifier | 04987350779373 |
| UDI-Public | 04987350779373 |
| Combination Product (Y/N) | N |
| Initial Reporter State | TX |
| Initial Reporter Country | US |
| PMA/510(K) Number | K063695 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional,User Facility,Company Representative |
| Initial Reporter Occupation |
Nurse
|
| Type of Report
| Initial |
| Report Date (Section B) |
07/14/2026 |
| 1 Device was Involved in the Event |
|
| 1 Patient was Involved in the Event |
|
| Is this an Adverse Event Report? |
Yes
|
| Is this a Product Problem Report? |
Yes
|
| Operator of Device |
Health Professional
|
| Device Model Number | 25-1011 |
| Device Catalogue Number | TW*AS418XA |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
Yes
|
| Was the Report Sent to FDA? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 06/19/2026 |
| Initial Report FDA Received Date | 07/14/2026 |
| 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 |
| Outcome Attributed to Adverse Event |
Required Intervention;
|
| Patient Sex | Unknown |
|
|