| Brand Name | MEDPOR PRIORITY CUSTOMIZED CRANIAL - XL |
| Common Device Name | PROSTHESIS, CHIN, INTERNAL |
| Manufacturer (Section D) |
| STRYKER ORTHOPAEDICS-MAHWAH |
| 325 corporate drive |
| mahwah NJ 07430 |
|
| Manufacturer (Section G) |
| STRYKER ORTHOPAEDICS-MAHWAH |
| 325 corporate drive |
|
| mahwah NJ 07430 |
|
| Manufacturer Contact |
|
elena
drewenskus
|
| boetzingerstr. 41 |
| freiburg D-791-11
|
|
GM
D-79111
|
|
7614888208
|
|
| MDR Report Key | 25827700 |
| Report Number | 0008010177-2026-00114 |
| Device Sequence Number | 9721177 |
| Product Code |
FWP
|
| UDI-Device Identifier | 07613327466478 |
| UDI-Public | 07613327466478 |
| Combination Product (Y/N) | N |
| Initial Reporter State | PA |
| Initial Reporter Country | US |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Company Representative |
| Initial Reporter Occupation |
Other
|
| Type of Report
| Initial |
| Report Date (Section B) |
07/15/2026 |
| 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 Catalogue Number | 5444-4-410 |
| Device Lot Number | 2605141061 |
| Was Device Available for Evaluation? |
No
|
| Type of Report(Section G) | Initial |
| Initial Date Received by Manufacturer | 06/19/2026 |
| Initial Report FDA Received Date | 07/15/2026 |
| 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 |
| Patient Sex | Unknown |