| Brand Name | ES2 INTGRTD BLAD SCRW S 7.5X45MM |
| Common Device Name | Thoracolumbosacral Pedicle Screw System |
| Manufacturer (Section D) |
| Stryker Spine-US |
| 2 pearl court |
| allendale NJ 07401 |
|
| Manufacturer (Section G) |
| Stryker Spine-France |
| zone industrielle de marticot |
|
| cestas 33610 |
|
FR
33610
|
|
| Manufacturer Contact |
|
catherine
devarenne
|
| 2 pearl court |
| allendale, NJ 07401
|
|
+1(201)760-8000
|
|
| MDR Report Key | 50680247 |
| Report Number | 0009617544-2026-00129 |
| Device Sequence Number | 5315664 |
| Product Code |
NKB
|
| UDI-Device Identifier | 07613327002010 |
| UDI-Public | 07613327002010 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | JA |
| PMA/510(K) Number | K122845 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Device Implanted Year | 2024 |
| Device Explanted Year | 2026 |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional |
| Initial Reporter Occupation |
Physician
|
| 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? |
Yes
|
| Is this a Product Problem Report? |
Yes
|
| Operator of Device |
Health Professional
|
| Device Catalogue Number | 482802745 |
| Device Lot Number | 245157 |
| 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 | 08/13/2026 |
| Initial Report FDA Received Date | 09/08/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 08/21/2024 |
| 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 |
Required Intervention;
|
| Patient Age | 58 YR |
| Patient Sex | Unknown |