| Brand Name | UROSTREAM HYDROPHILIC WIRE GUIDE |
| Common Device Name | OCY, endoscopic guidewire, gastroenterology-urology |
| Manufacturer (Section D) |
| Cook Inc |
| 750 daniels way |
| bloomington IN 47404 |
|
| Manufacturer Contact |
|
jason
crouch
|
| 750 daniels way |
| bloomington, IN 47404
|
|
+1(812)339-2235
|
|
| MDR Report Key | 50134515 |
| Report Number | 1820334-2026-00804 |
| Device Sequence Number | 5584580 |
| Product Code |
OCY
|
| UDI-Device Identifier | 10827002591513 |
| UDI-Public | (01)10827002591513(17)290416(10)CI000989702 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | IT |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Other,Foreign,Company Representative |
| Initial Reporter Occupation |
Physician
|
| Type of Report
| Initial |
| Report Date (Section B) |
08/04/2026 |
| 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 | G59151 |
| Device Catalogue Number | UROS-035150 |
| Device Lot Number | CI000989702 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
Yes
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 07/15/2026 |
| Initial Report FDA Received Date | 08/04/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 04/16/2026 |
| 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 Sex | Unknown |
|
|