| Brand Name | NEURO II-SE, MODELS: OR-DR-OR, OR-MB |
| Common Device Name | Neuro II-SE |
| Manufacturer (Section D) |
| IMRIS Imaging, Inc. |
| 1230 chaska creek way |
| sutie 100 |
| chaska MN 55318 |
|
| Manufacturer (Section G) |
| IMRIS Imaging, Inc. |
| 1230 chaska creek way |
| suite 100 |
| chaska MN 55318 |
|
| Manufacturer Contact |
|
stacy
kramer
|
| 1230 chaska creek way |
| suite 100 |
| chaska, MN 55318
|
|
+1(763)203-6338
|
|
| MDR Report Key | 50417088 |
| Report Number | 3010326005-2026-00007 |
| Device Sequence Number | 10461648 |
| Product Code |
LNH
|
| UDI-Device Identifier | 00857534006929 |
| UDI-Public | (01)00857534006929(11)20111114 |
| Combination Product (Y/N) | N |
| Initial Reporter State | MA |
| Initial Reporter Country | US |
| PMA/510(K) Number | K071099 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional |
| 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? |
No
|
| Is this a Product Problem Report? |
Yes
|
| Device Model Number | 105000-003 |
| Was Device Available for Evaluation? |
Yes
|
| Is the Reporter a Health Professional? |
Yes
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | Not provided |
| Initial Report FDA Received Date | 08/24/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 11/14/2011 |
| 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 |
| Outcome Attributed to Adverse Event |
Other;
|
| Patient Sex | Unknown |