| Brand Name | Velosorb Fast |
| Common Device Name | Braided Fast Absorbable Surgical Suture, |
| Manufacturer (Section D) |
| Riverpoint Medical LLC |
| 825 ne 25th ave |
| portland OR 97232 |
|
| Manufacturer (Section G) |
| Riverpoint Medical LLC |
| 825 ne 25th ave |
|
| portland OR 97232 |
|
| Manufacturer Contact |
|
edwin
anderson
|
| 825 ne 25th ave |
| portland, OR 97232
|
|
| MDR Report Key | 50229729 |
| Report Number | 3009681798-2026-00035 |
| Device Sequence Number | 18710490 |
| Product Code |
GAM
|
| UDI-Device Identifier | 20884521151427 |
| UDI-Public | 20884521151427 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | GM |
| PMA/510(K) Number | K120556 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Device Implanted Year | 2026 |
| Reporter Type |
Manufacturer
|
| Report Source |
Foreign,Company Representative,Distributor |
| Initial Reporter Occupation |
Non-Healthcare Professional
|
| Type of Report
| Initial |
| Report Date (Section B) |
08/12/2026 |
| 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
|
| Device Model Number | SV-2252 |
| Device Lot Number | 25061920 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 07/22/2026 |
| Initial Report FDA Received Date | 08/12/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 05/01/2025 |
| 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 |