MAUDE MDR 259375

MDR report key
259375
Report number
1018233-2000-00001
Event key
0
Event type
3
Date of event
1999-12-15
Date received
2000-01-13
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
303
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
VIVIAN STEPHENS
Address
8195 INDUSTRIAL BLVD COVINGTON GA 30014 US
Phone
770-770-7707
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1BARD BIOPSY NEEDLEBIOPSY NEEDLEC.R. BARD, INC.KNWNA02 44181622JJ1105NYR

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12000-01-1301. O

Event Narratives#

D

Patient 1

CUSTOMER REPORTED THEY HAD REC'D A BIOPSY NEEDLE LABELED 16CM BUT PACKAGE ACTUALLY CONTAINED A 20CM NEEDLE. THE DISCREPANCY WAS VISUALLY DETECTED. THEREFORE, THERE WAS NO PT INVOLVEMENT.