| Brand Name | Swift-Lock Anchor |
| Common Device Name | SCS ANCHOR |
| Manufacturer (Section D) |
| Abbott Medical |
| 6901 preston rd |
| plano TX 75024 |
|
| Manufacturer (Section G) |
| Abbott Medical |
| 6901 preston rd |
|
| plano TX 75024 |
|
| Manufacturer Contact |
|
sara
speyerer
|
| 6901 preston road |
| plano, TX 75024
|
|
+1(972)309-8000
|
|
| MDR Report Key | 50765969 |
| Report Number | 1627487-2026-10064 |
| Device Sequence Number | 9333215 |
| Product Code |
GZB
|
| UDI-Device Identifier | 05415067024084 |
| UDI-Public | (01)05415067024084(10)11133552(17)271208 |
| Combination Product (Y/N) | N |
| Initial Reporter State | AZ |
| Initial Reporter Country | US |
| PMA/510(K) Number | K092371 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Device Implanted Year | 2026 |
| Device Explanted Year | 2026 |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional,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 | 1192 |
| Device Catalogue Number | 1192 |
| Device Lot Number | 11133552 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
Yes
|
| Was the Report Sent to FDA? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 08/18/2026 |
| Initial Report FDA Received Date | 09/15/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 12/08/2025 |
| 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 |
| Outcome Attributed to Adverse Event |
Other;
|
| Patient Sex | Male |
| Patient Weight | 140 LB |