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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BARD PERIPHERAL VASCULAR, INC. BARD BIOPSY MARQUEE 14GA; INSTRUMENT, BIOPSY

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BARD PERIPHERAL VASCULAR, INC. BARD BIOPSY MARQUEE 14GA; INSTRUMENT, BIOPSY Back to Search Results
Model Number MQ1410
Device Problems Defective Device (2588); Material Twisted/Bent (2981)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 02/02/2023
Event Type  malfunction  
Event Description
When the attending radiologist was advancing the device, the tip bent in the tissue on two patients.This is not appropriate in this setting.We opened a different ga needle for the first patient, however upon the second patient we realized it was devices in the same lot number and successfully used a different lot number device.Three total devices were bent.Defective device lot #: 0001494129.
 
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Brand Name
BARD BIOPSY MARQUEE 14GA
Type of Device
INSTRUMENT, BIOPSY
Manufacturer (Section D)
BARD PERIPHERAL VASCULAR, INC.
1625 w. 3rd st.
tempe AZ 85281
MDR Report Key16426510
MDR Text Key310092560
Report Number16426510
Device Sequence Number1
Product Code KNW
Combination Product (y/n)N
Number of Events Reported1
Summary Report (Y/N)N
Report Source User Facility
Reporter Occupation Risk Manager
Type of Report Initial
Report Date 02/02/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received02/23/2023
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model NumberMQ1410
Device Catalogue NumberMQ1410
Device Lot Number0001494129
Is the Reporter a Health Professional? No
Was the Report Sent to FDA? Yes
Date Report Sent to FDA02/02/2023
Event Location Hospital
Date Report to Manufacturer02/23/2023
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Unknown
Patient Sequence Number1
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