MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-01-15 for MAGNUM CORE BIOPSY NEEDLES MN1410 manufactured by Bard Peripheral Vascular, Inc..
[179310641]
For the reported event, lot number was not provided. The sample was returned for evaluation. The company is still investigating the issue at this time. The device is labeled for single use.
Patient Sequence No: 1, Text Type: N, H10
[179310642]
This report summarizes one malfunction. A review of the reported information indicated that model mn1410. Biopsy instrument allegedly experienced a break. This report was received from a single source. This event did involve patient with no reported patient injury. Age, weight, and gender were not provided for the patient.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 2020394-2020-00272 |
| MDR Report Key | 9591062 |
| Date Received | 2020-01-15 |
| Date of Report | 2020-03-31 |
| Date Mfgr Received | 2020-03-26 |
| Date Added to Maude | 2020-01-15 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | JUDITH LUDWIG |
| Manufacturer Street | 1415 W. 3RD STREET |
| Manufacturer City | TEMPE AZ 85281 |
| Manufacturer Country | US |
| Manufacturer Postal | 85281 |
| Manufacturer Phone | 4803032689 |
| Manufacturer G1 | BARD REYNOSA S.A. DE C.V. |
| Manufacturer Street | BLVD MONTEBELLO #1 PARQUE INDUSTRIAL COLONIAL |
| Manufacturer City | REYNOSA TAMAULIPAS 88780 |
| Manufacturer Country | MX |
| Manufacturer Postal Code | 88780 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | MAGNUM CORE BIOPSY NEEDLES |
| Generic Name | BIOPSY INSTRUMENT |
| Product Code | FCG |
| Date Received | 2020-01-15 |
| Model Number | MN1410 |
| Catalog Number | MN1410 |
| Lot Number | UNKNOWN |
| Device Availability | * |
| Device Age | DA |
| Device Eval'ed by Mfgr | * |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | BARD PERIPHERAL VASCULAR, INC. |
| Manufacturer Address | 1625 W 3RD ST. TEMPE AZ 85281 US 85281 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2020-01-15 |