| Brand Name | KERIFLEX PROGRESSIVE PROXIMAL RASP PIP |
| Common Device Name | KERIFLEX PROGRESSIVE PROXIMAL RASP PIP |
| Manufacturer (Section D) |
| KERI MEDICAL SA |
| chemin du pre-fleuri 5 |
| plan-les-ouates, 1228 |
| SZ 1228 |
|
| Manufacturer (Section G) |
| KERI MEDICAL FRANCE |
| 34 rue antoine redier |
|
| archamps, 74160 |
|
FR
74160
|
|
| Manufacturer Contact |
|
camille
miletto
|
| chemin du pre-fleuri 5 |
| plan-les-ouates, 1228
|
|
SZ
1228
|
|
| MDR Report Key | 25856586 |
| Report Number | 3024706750-2026-00069 |
| Device Sequence Number | 17459562 |
| Product Code |
GAC
|
| UDI-Device Identifier | 07640181161560 |
| UDI-Public | 07640181161560 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | GM |
| PMA/510(K) Number | K211385 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Foreign,Company Representative |
| Initial Reporter Occupation |
Physician
|
| Type of Report
| Initial |
| Report Date (Section B) |
07/13/2026 |
| 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 | 211-A43000 |
| Device Catalogue Number | 211-A43000 |
| Device Lot Number | G3000321 |
| Was Device Available for Evaluation? |
Device Returned to Manufacturer
|
| Date Returned to Manufacturer | 06/29/2026 |
| Is the Reporter a Health Professional? |
Yes
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 06/23/2026 |
| Initial Report FDA Received Date | 07/17/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Is the Device Labeled for Single Use? (Y/N) |
No
|
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Usage of Device |
Reuse
|
| Patient Sequence Number | 1 |
| Outcome Attributed to Adverse Event |
Other;
|
| Patient Sex | Female |