| Brand Name | XLUNG Kit 230 |
| Common Device Name | Extracorporeal System For Long-Term Respiratory / Cardiopulmonary Failure |
| Manufacturer (Section D) |
| Xenios AG |
| director of quality |
| im zukunftspark 1 |
| heilbronn baden-wurttemberg 74076 |
| GM 74076 |
|
| Manufacturer (Section G) |
| Xenios AG |
| director of quality |
| im zukunftspark 1 |
| heilbronn baden-wurttemberg 74076 |
|
GM
74076
|
|
| Manufacturer Contact |
|
jessica
trujillo
|
| 920 winter st |
| waltham, MA 02451
|
|
+1(617)417-5172
|
|
| MDR Report Key | 50895663 |
| Report Number | 3012172416-2026-00089 |
| Device Sequence Number | 20290832 |
| Product Code |
QJZ
|
| UDI-Device Identifier | 04057224001494 |
| UDI-Public | 04057224001494 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | CH |
| PMA/510(K) Number | K191407 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Foreign,User Facility |
| Initial Reporter Occupation |
Non-Healthcare Professional
|
| Type of Report
| Initial |
| 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 | 32000014 |
| Device Lot Number | GSXF0204 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
No
|
| Device Age | MO |
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 09/08/2026 |
| Initial Report FDA Received Date | 09/25/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
Device Not Returned to Manufacturer
|
| 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 |
Concomitant Medical Products and Therapy/Usage Dates | Novalung Console (Linux Board) |
| Patient Sex | Unknown |