| Brand Name | MOTIVA IMPLANTS |
| Common Device Name | SmoothSilk Plus |
| Manufacturer (Section D) |
| Establishment Labs S.A. |
| building b-25, coyol free zone |
| alajuela,alajuela 20113 |
| CS 20113 |
|
| Manufacturer (Section G) |
| Establishment Labs S.A. |
| building b-25, coyol free zone |
|
| alajuela,alajuela 20113 |
|
CS
20113
|
|
| Manufacturer Contact |
|
susana
hidalgo
|
| building b-25, coyol free zone |
| alajuela,alajuela 20113
|
|
CS
20113
|
|
+1(800)355-4164
|
|
| MDR Report Key | 50657001 |
| Report Number | 3012883202-2026-02881 |
| Device Sequence Number | 10445646 |
| Product Code |
FTR
|
| UDI-Device Identifier | 07445161001917 |
| UDI-Public | (01)07445161001917(11)250114(17)300114 |
| Combination Product (Y/N) | N |
| Initial Reporter State | TX |
| Initial Reporter Country | US |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Device Implanted Year | 2026 |
| Serviced by Third Party (Y/N) | Y |
| Reporter Type |
Manufacturer
|
| Initial Reporter Occupation |
Physician
|
| Type of Report
| Initial |
| Report Date (Section B) |
09/07/2026 |
| 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 | RSD-320+ |
| Device Lot Number | 25010461 |
| 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 | 08/21/2026 |
| Initial Report FDA Received Date | 09/07/2026 |
| 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 |
Other;
|
| Patient Sex | Unknown |
|
|