| Brand Name | Y-Knot |
| Common Device Name | fastener, fixation, nondegradable, soft tissue |
| Manufacturer (Section D) |
| CONMED |
| 525 french rd |
| utica NY 13502 |
|
| Manufacturer (Section G) |
| CONMED Largo |
| 11311 concept blvd |
|
| largo FL 33773 |
|
| Manufacturer Contact |
|
beth
madeline
|
| 525 french rd |
| utica, NY 13502
|
|
+1(727)470-8358
|
|
| MDR Report Key | 50176648 |
| Report Number | 1017294-2026-00146 |
| Device Sequence Number | 15524145 |
| Product Code |
MBI
|
| UDI-Device Identifier | 20845854050689 |
| UDI-Public | (01)20845854050689(17)300921(10)1495528 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | US |
| PMA/510(K) Number | K131035 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Foreign,Company Representative |
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
08/25/2026 |
| 1 Device was Involved in the Event |
|
| 1 Patient was Involved in the Event |
|
| Is this an Adverse Event Report? |
Yes
|
| Is this a Product Problem Report? |
No
|
| Operator of Device |
Health Professional
|
| Device Catalogue Number | YP1802 |
| Device Lot Number | 1495528 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
No
|
| Initial Date Received by Manufacturer | Not provided |
| Supplement Date Received by Manufacturer | 08/24/2026
|
| Initial Report FDA Received Date | 08/07/2026 |
| Supplement Report FDA Received Date | 08/25/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 09/22/2025 |
| Is the Device Labeled for Single Use? (Y/N) |
Yes
|
| Patient Sequence Number | 1 |
| Outcome Attributed to Adverse Event |
Life Threatening;
|
| Patient Sex | Unknown |
|
|