| Brand Name | CGuard Prime Carotid Stent System |
| Common Device Name | Carotid Stent System |
| Manufacturer (Section D) |
| InspireMD LTD |
| 4 menorat hamaor street |
| tel aviv, isr 67448 32 |
| IS 6744832 |
|
| MDR Report Key | 50015481 |
| Report Number | 3032814119-2026-00013 |
| Device Sequence Number | 10514619 |
| Product Code |
NIM
|
| UDI-Device Identifier | 07290120281943 |
| Combination Product (Y/N) | N |
| Initial Reporter State | CA |
| Initial Reporter Country | US |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Importer
|
| Initial Reporter Occupation |
Physician
|
| Type of Report
| Initial |
| Report Date (Section B) |
07/24/2026 |
| Report Date (Section F) |
07/24/2026 |
| 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 Expiration Date | 05/31/2026 |
| Device Model Number | CND0940 |
| Was Device Available for Evaluation? |
Yes
|
| Date Returned to Manufacturer | 03/17/2026 |
| Is the Reporter a Health Professional? |
Yes
|
| Was the Report Sent to FDA? |
Yes
|
| Distributor Facility Aware Date | 02/18/2026 |
| Device Age | 1 YR |
| Event Location |
Hospital
|
| Date Report to Manufacturer | 07/24/2026 |
| Initial Date Received by Manufacturer | Not provided |
| Initial Report FDA Received Date | 07/27/2026 |
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Patient Sequence Number | 1 |
| Patient Sex | Unknown |
| Date Report Sent to FDA | 07/24/2026 |
|
|