| Brand Name | 11g iVAS Access Cannula |
| Common Device Name | Injector, vertebroplasty |
| Manufacturer (Section D) |
| Stryker Instruments-a division of Stryker Corp |
| 1941 stryker way |
| portage MI 49002 |
|
| Manufacturer (Section G) |
| Stryker Instruments-Puerto Rico |
| las palmas industrial park |
| highway #3, km 130.2 |
| arroyo 00615 |
|
PR
00615
|
|
| Manufacturer Contact |
|
kelsey
barla
|
| 1941 stryker way |
| portage, MI 49002
|
|
+1(269)323-7700
|
|
| MDR Report Key | 50411877 |
| Report Number | 3015967359-2026-00465 |
| Device Sequence Number | 15746324 |
| Product Code |
OAR
|
| UDI-Device Identifier | 07613252505990 |
| UDI-Public | (01)07613252505990(17)281101(10)25317012 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | UK |
| PMA/510(K) Number | exempt |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Company Representative |
| Initial Reporter Occupation |
Other Health Care Professional
|
| Type of Report
| Initial |
| Report Date (Section B) |
08/24/2026 |
| 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 | 0306330000 |
| Device Lot Number | 25317012 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
Yes
|
| Initial Date Received by Manufacturer | Not provided |
| Initial Report FDA Received Date | 08/24/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| 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 |
| Outcome Attributed to Adverse Event |
Required Intervention;
|
| Patient Sex | Unknown |
|
|