| Brand Name | NEUROPACE RNS SYSTEM |
| Common Device Name | NEUROPACE RNS SYSTEM |
| Manufacturer (Section D) |
| NEUROPACE, INC. |
| 455 n. bernardo ave. |
| mountain view CA 94043 |
|
| Manufacturer (Section G) |
| NEUROPACE, INC. |
| 455 n. bernardo ave. |
|
| mountain view CA 94043 |
|
| Manufacturer Contact |
|
ramona
gonis
|
| 455 n. bernardo ave. |
| mountain view, CA 94043
|
|
5108822607
|
|
| MDR Report Key | 25813524 |
| Report Number | 3004426659-2026-00071 |
| Device Sequence Number | 6038135 |
| Product Code |
PFN
|
| UDI-Device Identifier | 00855547005335 |
| UDI-Public | 010085554700533517270318 |
| Combination Product (Y/N) | N |
| Initial Reporter State | CA |
| Initial Reporter Country | US |
| PMA/510(K) Number | P100026 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Device Implanted Year | 2024 |
| Serviced by Third Party (Y/N) | Unknown |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional,Company Representative |
| Initial Reporter Occupation |
Non-Healthcare Professional
|
| 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? |
No
|
| Is this a Product Problem Report? |
Yes
|
| Device Model Number | DL-330-10-K |
| Device Catalogue Number | 1007929 |
| Device Lot Number | 34166-1-1-1 |
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 06/25/2026 |
| 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 |
Hospitalization;
Other;
|
| Patient Age | 20 YR |
| Patient Sex | Male |
|
|