| Brand Name | EMBOGUARD |
| Common Device Name | Catheter, Percutaneous, Neurovasculature |
| Manufacturer (Section D) |
| Neuravi Ltd. |
| block 3 |
| ballybritt business park |
| galway H91 K 5YD |
| EI H91 K5YD |
|
| Manufacturer (Section G) |
| Lake Region Medical Galway |
| parkmore business park west |
|
| county galway H91 C K22 |
|
EI
H91 CK22
|
|
| Manufacturer Contact |
|
katie
seppa
|
| 31 technology dr. |
| irvine, CA 92618
|
|
+1(513)337-8052
|
|
| MDR Report Key | 50782231 |
| Report Number | 3011370111-2026-00106 |
| Device Sequence Number | 9415734 |
| Product Code |
QJP
|
| UDI-Device Identifier | 10886704082743 |
| UDI-Public | (01)10886704082743(11)260106(17)280704(10)10439592 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | US |
| PMA/510(K) Number | K212340 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Foreign,Health Professional,Company Representative |
| Initial Reporter Occupation |
Other Health Care Professional
|
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
09/25/2026 |
| 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 | BG8795U |
| Device Lot Number | 10439592 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 09/01/2026 |
| Supplement Date Received by Manufacturer | 09/24/2026
|
| Initial Report FDA Received Date | 09/15/2026 |
| Supplement Report FDA Received Date | 09/25/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 01/06/2026 |
| 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 |