| Brand Name | FLOWGATE2 8F X 95CM |
| Common Device Name | Catheter, Percutaneous |
| Manufacturer (Section D) |
| Stryker Neurovascular-Utah-Salt Lake City |
| 4870 west 2100 south |
| salt lake city UT 84120 |
|
| Manufacturer (Section G) |
| Stryker Neurovascular-Utah-Salt Lake City |
| 4870 west 2100 south |
|
| salt lake city UT 84120 |
|
| Manufacturer Contact |
|
tara
lopez
|
| 47900 bayside parkway |
| fremont, CA 94538
|
|
+1(510)413-2500
|
|
| MDR Report Key | 50862668 |
| Report Number | 3012931345-2026-00143 |
| Device Sequence Number | 9651756 |
| Product Code |
DQY
|
| UDI-Device Identifier | 00815742004953 |
| UDI-Public | (01)00815742004953(17)280120(10)0001263368 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | CH |
| PMA/510(K) Number | K153729 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional |
| 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
|
| Operator of Device |
Health Professional
|
| Device Catalogue Number | 90495 |
| Device Lot Number | 0001263368 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
Yes
|
| Initial Date Received by Manufacturer | 09/02/2026 |
| Initial Report FDA Received Date | 09/22/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 01/20/2026 |
| 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 Age | 65 YR |
| Patient Sex | Female |
| Patient Race | Asian |
|
|