| Brand Name | TARGET TETRA 1.5MM X 2.0CM |
| 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 | 50702706 |
| Report Number | 3008881809-2026-00561 |
| Device Sequence Number | 5892113 |
| Product Code |
HCG
|
| UDI-Device Identifier | 07613327580099 |
| UDI-Public | (01)07613327580099(17)301004(10)25890655 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | PO |
| 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 |
| Report Date (Section B) |
09/09/2026 |
| 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 | TG5411520 |
| Device Lot Number | 25890655 |
| Was Device Available for Evaluation? |
Yes
|
| Date Returned to Manufacturer | 06/09/2026 |
| Is the Reporter a Health Professional? |
No
|
| Initial Date Received by Manufacturer | 09/04/2026 |
| Initial Report FDA Received Date | 09/09/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 10/06/2025 |
| 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 |