| Brand Name | WECK HEMOLOK ML CLIPS 6/CART 84/BOX |
| Common Device Name | CLIP, IMPLANTABLE |
| Manufacturer (Section D) |
| Teleflex Medical |
| morrisville NC |
|
| Manufacturer (Section G) |
| Teleflex Medical |
| rancho el descanso |
|
| tecate 21478 |
|
MX
21478
|
|
| Manufacturer Contact |
|
marling
heaton
|
| 3015 carrington mill blvd |
| morrisville 27560
|
|
| MDR Report Key | 50919676 |
| Report Number | 3003898360-2026-00419 |
| Device Sequence Number | 5803852 |
| Product Code |
FZP
|
| UDI-Device Identifier | 14026704928375 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | SN |
| PMA/510(K) Number | K232970 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Foreign,Health Professional,Company Representative,Distributor |
| Initial Reporter Occupation |
Physician
|
| Type of Report
| Initial |
| Report Date (Section B) |
08/31/2026 |
| 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 | 544230 |
| Device Lot Number | 73B2600544 |
| Was Device Available for Evaluation? |
Yes
|
| Date Returned to Manufacturer | 09/14/2026 |
| Is the Reporter a Health Professional? |
Yes
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 08/31/2026 |
| Initial Report FDA Received Date | 09/28/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 02/22/2026 |
| Is the Device Labeled for Single Use? (Y/N) |
No
|
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Usage of Device |
Unknown
|
| Patient Sequence Number | 1 |
| Patient Sex | Unknown |
|
|