| Brand Name | SiteRite |
| Common Device Name | Extracorporeal ultrasound imaging transducer, hand-held |
| Manufacturer (Section D) |
| C.R. Bard, Inc. (BASD) -3006260740 |
| 605 north 5600 west |
| salt lake city 84116 |
|
| Manufacturer (Section G) |
| Dymax Corp. -2523003 |
| 110 marshall drive |
|
| warrendale PA 15086 |
|
| Manufacturer Contact |
|
yolanda
thompson
|
| 605 north 5600 west |
| salt lake city 84116
|
|
+1(801)595-0700
|
|
| MDR Report Key | 50778969 |
| Report Number | 3006260740-2026-06741 |
| Device Sequence Number | 10683018 |
| Product Code |
ITX
|
| UDI-Device Identifier | 00801741138294 |
| UDI-Public | (01)00801741138294 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | US |
| PMA/510(K) Number | K152554 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional |
| Initial Reporter Occupation |
Other Health Care Professional
|
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
09/18/2026 |
| 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 Model Number | N/A |
| Device Catalogue Number | 9770601 |
| Was Device Available for Evaluation? |
Yes
|
| Date Returned to Manufacturer | 08/21/2026 |
| Is the Reporter a Health Professional? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 08/20/2026 |
| Supplement Date Received by Manufacturer | 09/18/2026
|
| Initial Report FDA Received Date | 09/15/2026 |
| Supplement Report FDA Received Date | 09/24/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 11/03/2021 |
| 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 | Unknown |
|
|