| Brand Name | T27 Final Driver |
| Common Device Name | Screwdriver |
| Manufacturer (Section D) |
| Highridge Medical, LLC |
| 10225 westmoor dr. |
| westminster CO 80021 |
|
| Manufacturer (Section G) |
| Highridge Medical, LLC |
| 10225 westmoor dr. |
|
| westminster CO 80021 |
|
| Manufacturer Contact |
|
teresa
george
|
| 10225 westmoor dr. |
| westminster, CO 80021
|
|
+1(303)501-8506
|
|
| MDR Report Key | 50178235 |
| Report Number | 3012447612-2026-00207 |
| Device Sequence Number | 9886971 |
| Product Code |
HXX
|
| UDI-Device Identifier | 03662663214933 |
| UDI-Public | (01)03662663214933 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | JA |
| PMA/510(K) Number | Exempt |
| Exemption Number | 5645646 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Foreign,Health Professional,Company Representative |
| Initial Reporter Occupation |
Physician
|
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
09/07/2026 |
| 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 | 730M0017 |
| Device Lot Number | 4440601 |
| Was Device Available for Evaluation? |
Yes
|
| Date Returned to Manufacturer | 08/23/2026 |
| Is the Reporter a Health Professional? |
Yes
|
| Initial Date Received by Manufacturer | Not provided |
| Supplement Date Received by Manufacturer | Not provided
|
| Initial Report FDA Received Date | 08/07/2026 |
| Supplement Report FDA Received Date | 09/08/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
Device Not Returned to Manufacturer
|
| Date Device Manufactured | 01/24/2021 |
| 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
|
| Usage of Device |
Reuse
|
| Patient Sequence Number | 1 |
| Patient Sex | Unknown |
|
|