| Brand Name | SYNCHRO-14 STRAIGHT 200-35CM |
| Common Device Name | WIRE, GUIDE, CATHETER |
| Manufacturer (Section D) |
| STRYKER NEUROVASCULAR-UTAH-SALT LAKE CITY |
| 4870 west 2100 south |
| salt lake city UT 84120 |
|
| Manufacturer (Section G) |
| STRYKER NEUROVASCULAR-UTAH-SALT LAKE CITY |
| 4870 west 2100 south |
|
| salt lake city UT 84120 |
|
| Manufacturer Contact |
|
tara
lopez
|
| 47900 bayside parkway |
| fremont, CA 94538
|
|
5104132500
|
|
| MDR Report Key | 25883068 |
| Report Number | 3012931345-2026-00117 |
| Device Sequence Number | 8057970 |
| Product Code |
DQX
|
| UDI-Device Identifier | 07613252186922 |
| UDI-Public | (01)07613252186922(17)280112(10)0001255969 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | CH |
| PMA/510(K) Number | K002907 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional |
| Initial Reporter Occupation |
Physician
|
| Type of Report
| Initial |
| Report Date (Section B) |
07/20/2026 |
| 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 | M00313010 |
| Device Lot Number | 0001255969 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
Yes
|
| Type of Report(Section G) | Initial |
| Initial Date Received by Manufacturer | 06/30/2026 |
| Initial Report FDA Received Date | 07/20/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 01/13/2026 |
| 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 Age | 60 YR |
| Patient Sex | Male |
| Patient Race | Asian |
|
|