| Brand Name | McKesson |
| Common Device Name | Portable Cryotherapy Treatment Kit |
| Manufacturer (Section D) |
| Nuance Medical, LLC |
| 5931 sea lion place |
| unit 113 |
| carlsbad CA 92010 |
|
| Manufacturer Contact |
|
alan
dye
|
| 5931 sea lion place |
| suite 113 |
| carlsbad, CA 92010
|
|
+1(760)585-7741
|
|
| MDR Report Key | 50670655 |
| Report Number | 3010543854-2026-08261 |
| Device Sequence Number | 10158709 |
| Product Code |
GEH
|
| UDI-Device Identifier | 20612479193950 |
| UDI-Public | 20612479193950 |
| Combination Product (Y/N) | N |
| Initial Reporter State | OR |
| Initial Reporter Country | US |
| PMA/510(K) Number | K130995 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Distributor |
| Initial Reporter Occupation |
Other Health Care Professional
|
| Type of Report
| Initial |
| Report Date (Section B) |
09/08/2026 |
| 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 | 73 |
| Device Catalogue Number | 9000-024 |
| Device Lot Number | N2612702 |
| 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 | 08/26/2026 |
| Initial Report FDA Received Date | 09/08/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Patient Sequence Number | 1 |
| Patient Sex | Unknown |
|
|