| Brand Name | TARGET TETRA 2.5MM X 6.0CM |
| Common Device Name | Device, Neurovascular Embolization |
| 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 | 50464492 |
| Report Number | 3008881809-2026-00537 |
| Device Sequence Number | 21306700 |
| Product Code |
HCG
|
| UDI-Device Identifier | 07613327578638 |
| UDI-Public | (01)07613327578638(17)301123(10)25983208 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | US |
| PMA/510(K) Number | K242243 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Distributor |
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
10/02/2026 |
| 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 | TG5412560 |
| Device Lot Number | 25983208 |
| Was Device Available for Evaluation? |
Yes
|
| Date Returned to Manufacturer | 09/03/2026 |
| Is the Reporter a Health Professional? |
No
|
| Initial Date Received by Manufacturer | 08/17/2026 |
| Supplement Date Received by Manufacturer | 09/16/2026
|
| Initial Report FDA Received Date | 08/26/2026 |
| Supplement Report FDA Received Date | 10/02/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 11/25/2025 |
| 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 |