| Brand Name | Smart Pressure Controller |
| Common Device Name | Computer, Diagnostic, Programmable |
| Manufacturer (Section D) |
| Edwards LifeSciences |
| one edwards way |
| irvine CA 92614 |
|
| Manufacturer (Section G) |
| Edwards Lifescience |
| 17200 laguna canyon rd |
|
| irvine CA 92618 |
|
| Manufacturer Contact |
|
samantha
eveleigh
|
| 17200 laguna canyon rd |
| irvine, CA 92618
|
|
+1(949)201-7706
|
|
| MDR Report Key | 50926467 |
| Report Number | 2015691-2026-18918 |
| Device Sequence Number | 5804588 |
| Product Code |
DQK
|
| UDI-Device Identifier | 00690103219395 |
| UDI-Public | (01)00690103219395 |
| Combination Product (Y/N) | N |
| Initial Reporter State | NC |
| Initial Reporter Country | US |
| PMA/510(K) Number | K243781 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional,User Facility,Company Representative |
| Initial Reporter Occupation |
Other Health Care Professional
|
| Type of Report
| Initial |
| Report Date (Section B) |
09/28/2026 |
| 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 | PC1Q |
| Device Lot Number | 2020001737 |
| Was Device Available for Evaluation? |
No
|
| 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 | 09/02/2026 |
| Initial Report FDA Received Date | 09/28/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 04/01/2026 |
| 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
|
| Patient Sequence Number | 1 |
| Patient Sex | Unknown |