| Brand Name | SUPER TORQUE |
| Common Device Name | Catheter, Intravascular, Diagnostic |
| Manufacturer (Section D) |
| Cordis US. Corp |
| 14201 nw 60th avenue |
| miami lakes FL 33014 |
|
| Manufacturer (Section G) |
| Cordis US Corp. |
| 14201 nw 60 avenue |
|
| miami lakes FL 33014 |
|
| Manufacturer Contact |
|
karla
castro
|
| santiago troncoso 808 |
| juarez, chihuahua 32574
|
|
MX
32574
|
|
+011(786)3138372
|
|
| MDR Report Key | 50902791 |
| Report Number | 9616099-2026-01363 |
| Device Sequence Number | 10762251 |
| Product Code |
DQO
|
| UDI-Device Identifier | 10705032011655 |
| UDI-Public | (01)10705032011655(17)290131(10)18552728 |
| Combination Product (Y/N) | N |
| Initial Reporter State | OH |
| Initial Reporter Country | US |
| PMA/510(K) Number | K915836 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional,Company Representative |
| Initial Reporter Occupation |
Other Health Care 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 | 532502 |
| Device Lot Number | 18552728 |
| Was Device Available for Evaluation? |
Yes
|
| Is the Reporter a Health Professional? |
Yes
|
| Was the Report Sent to FDA? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 08/28/2026 |
| Initial Report FDA Received Date | 09/25/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 02/09/2026 |
| 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 |