| Brand Name | CUSA Clarity 36kHz Handpiece |
| Common Device Name | Tissue Ablation |
| Manufacturer (Section D) |
| Integra LifeSciences(Ireland) |
| ida business&technology park |
| ida business&technology park |
| sragh, tullamore, co.offaly |
| EI |
|
| Manufacturer (Section G) |
| Integra LifeSciences(Ireland) |
| ida business&technology park |
|
| sragh, tullamore, co.offaly |
|
EI
|
|
| Manufacturer Contact |
|
vivian
nelson
|
| 1100 campus drive |
| princeton, NJ 08540
|
|
+1(609)936-2319
|
|
| MDR Report Key | 50025484 |
| Report Number | 3006697299-2026-00062 |
| Device Sequence Number | 9662546 |
| Product Code |
LFL
|
| UDI-Device Identifier | 10381780126263 |
| UDI-Public | 10381780126263 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | US |
| PMA/510(K) Number | K161882 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Foreign,User Facility,Company Representative |
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
09/23/2026 |
| 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 | C7036 |
| Date Returned to Manufacturer | 07/27/2026 |
| Is the Reporter a Health Professional? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 07/02/2026 |
| Supplement Date Received by Manufacturer | 08/31/2026
|
| Initial Report FDA Received Date | 07/27/2026 |
| Supplement Report FDA Received Date | 09/23/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 12/12/2017 |
| 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
|
| Patient Sequence Number | 1 |
| Patient Sex | Unknown |
|
|