| Brand Name | EOPA 3D Vented Arterial Cannula |
| Common Device Name | CATHETER, CANNULA AND TUBING, VASCULAR, CARDIO |
| Manufacturer (Section D) |
| MEDTRONIC PERFUSION SYSTEMS |
| 7611 northland dr |
| minneapolis,mn |
|
| Manufacturer (Section G) |
| MEDTRONIC PERFUSION SYSTEMS |
| 7611 northland dr |
|
| minneapolis,mn |
|
| Manufacturer Contact |
|
alison
sweeney
|
| parkmore business park west |
| galway
|
|
EI
|
|
+353(091)708096
|
|
| MDR Report Key | 50857341 |
| Report Number | 2184009-2026-01396 |
| Device Sequence Number | 15940969 |
| Product Code |
DWF
|
| UDI-Device Identifier | 00763000135690 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | IS |
| PMA/510(K) Number | K260195 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Foreign,Health Professional,Company Representative |
| Initial Reporter Occupation |
Physician
|
| Type of Report
| Initial |
| Report Date (Section B) |
09/22/2026 |
| 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
|
| Device Model Number | 78220 |
| Device Catalogue Number | 78220 |
| Device Lot Number | 2024011291 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
Yes
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 08/27/2026 |
| Initial Report FDA Received Date | 09/22/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 01/31/2024 |
| 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
|
| Patient Sequence Number | 1 |
| Patient Sex | Unknown |
|
|