| Brand Name | EXCELSIUS GPS |
| Common Device Name | Robot, Surgical, navigation unit |
| Manufacturer (Section D) |
| Globus Medical, Inc. |
| 2560 general armistead avenue |
| audubon PA 19403 |
|
| Manufacturer (Section G) |
| Globus Medical, Inc. |
| 2560 general armistead avenue |
|
| audubon PA 19403 |
|
| Manufacturer Contact |
|
daniel
paul
|
| 2560 general armistead avenue |
| audubon, PA 19403
|
|
+1(610)930-1800
|
|
| MDR Report Key | 50763543 |
| Report Number | 3004142400-2026-00197 |
| Device Sequence Number | 9414634 |
| Product Code |
OLO
|
| UDI-Device Identifier | 00889095481297 |
| UDI-Public | 00889095481297 |
| Combination Product (Y/N) | N |
| Initial Reporter State | MO |
| Initial Reporter Country | US |
| PMA/510(K) Number | K171651 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Company Representative |
| Initial Reporter Occupation |
Physician
|
| Type of Report
| Initial |
| Report Date (Section B) |
09/14/2026 |
| 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 Model Number | 6143.1001 |
| Device Lot Number | GPS-0186 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
Yes
|
| Initial Date Received by Manufacturer | 08/21/2026 |
| Initial Report FDA Received Date | 09/14/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Is the Device Labeled for Single Use? (Y/N) |
No
|
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Usage of Device |
Reuse
|
| Patient Sequence Number | 1 |
| Outcome Attributed to Adverse Event |
Other;
|
| Patient Sex | Male |
| Patient Weight | 221 LB |
| Patient Race | White |
|
|