| Brand Name | CELLEX PHOTOPHERESIS SYSTEM |
| Common Device Name | CELLEX PHOTOPHERESIS SYSTEM |
| Manufacturer (Section D) |
| THERAKOS LLC |
| 1170 us highway 22 |
| bridgewater NJ 08807 |
|
| Manufacturer (Section G) |
| HARMAC MEDICAL PRODUCTS, INC. |
| 2201 bailey ave. |
|
| buffalo NY 14211 |
|
| Manufacturer Contact |
|
brian
stimson
|
| 1170 us highway 22 |
| bridgewater, NJ 08807
|
|
| MDR Report Key | 25814165 |
| Report Number | 3036773437-2026-00059 |
| Device Sequence Number | 5965390 |
| Product Code |
LNR
|
| UDI-Device Identifier | 20705030200003 |
| UDI-Public | (01)20705030200003(10)P343(17)270801 |
| Combination Product (Y/N) | Y |
| Initial Reporter State | CA |
| Initial Reporter Country | US |
| PMA/510(K) Number | P860003 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional |
| 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? |
No
|
| Is this a Product Problem Report? |
Yes
|
| Operator of Device |
Health Professional
|
| Device Catalogue Number | CLXUSA |
| Device Lot Number | P343 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
Yes
|
| Type of Report(Section G) | Initial |
| Initial Date Received by Manufacturer | 07/01/2026 |
| Initial Report FDA Received Date | 07/14/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 08/21/2025 |
| 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 | Male |