| Brand Name | EXCELSIOR SL-10 STRAIGHT 2 TIP 150CM |
| Common Device Name | Catheter, Percutaneous |
| Manufacturer (Section D) |
| Stryker Neurovascular Cork |
| ida industrial estate |
| model farm road |
| cork NA |
| EI NA |
|
| Manufacturer (Section G) |
| Stryker Neurovascular Cork |
| ida industrial estate |
| model farm road |
| cork NA |
|
EI
NA
|
|
| Manufacturer Contact |
|
tara
lopez
|
| 47900 bayside parkway |
| fremont, CA 94538
|
|
+1(510)413-2500
|
|
| MDR Report Key | 50286351 |
| Report Number | 3008881809-2026-00518 |
| Device Sequence Number | 18733575 |
| Product Code |
DQY
|
| UDI-Device Identifier | 04546540688217 |
| UDI-Public | (01)04546540688217(17)270812(10)25763145 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | CH |
| PMA/510(K) Number | K042568 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional |
| Initial Reporter Occupation |
Physician
|
| Type of Report
| Initial |
| Report Date (Section B) |
08/17/2026 |
| 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 | M0031681890 |
| Device Lot Number | 25763145 |
| Was Device Available for Evaluation? |
Yes
|
| Date Returned to Manufacturer | 04/08/2026 |
| Is the Reporter a Health Professional? |
Yes
|
| Initial Date Received by Manufacturer | 07/30/2026 |
| Initial Report FDA Received Date | 08/17/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 08/13/2025 |
| 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 | Male |
| Patient Race | Asian |
|
|