| Brand Name | Crosser iQ Ultrasonic |
| Common Device Name | Recanalization Catheter |
| Manufacturer (Section D) |
| Bard Peripheral Vascular, Inc. |
| 1625 w 3rd st. |
| tempe AZ 85281 |
|
| Manufacturer (Section G) |
| C.R. Bard, Inc. (GFO) |
| 289 bay road |
|
| queensbury 12804 |
|
| Manufacturer Contact |
|
michael
gaffney
|
| 800 w. rio salado pkwy |
| tempe, AZ 85281
|
|
+1(480)303-2689
|
|
| MDR Report Key | 50454414 |
| Report Number | 2020394-2026-02242 |
| Device Sequence Number | 10281661 |
| Product Code |
PDU
|
| UDI-Device Identifier | 00801741201332 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | JA |
| PMA/510(K) Number | K203363 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Other,Foreign,Company Representative |
| Initial Reporter Occupation |
Physician
|
| Type of Report
| Initial |
| Report Date (Section B) |
08/07/2026 |
| 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 | XCTO146 |
| Device Lot Number | GFKY1226 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
Yes
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 08/04/2026 |
| Initial Report FDA Received Date | 08/26/2026 |
| 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 |
| Patient Sex | Unknown |
|
|