MAUDE Adverse Event Report: BARD PERIPHERAL VASCULAR, INC. ENCOR BIO PROBE 7G VERT; BIOPSY INSTRUMENT

Catalog Number	ECP017GV
Medical Device Problem Codes	Detachment of Device or Device Component (2907); Device Contamination with Chemical or Other Material (2944)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	01/22/2025
Type of Reportable Event	Malfunction
Event or Problem Description
It was reported that during a vacuum assisted breast biopsy procedure, the purple foreign body allegedly fell out from the probe.There was no reported patient injury.
Additional Manufacturer Narrative
H10: the manufacturing location was selected as unknown due to system limitations.The manufacturing location for the encor product is adroit medical equipment.H10: as the lot number for the device was provided, a review of the device history records is currently being performed.The device has been returned to the manufacturer for evaluation.However, a photo was provided for review.The investigation of the reported event is currently underway.H11: section a through f - the information provided by bd represents all of the known information at this time.Despite good faith efforts to obtain additional information, the complainant / reporter was unable or unwilling to provide any further patient, product, or procedural details to bd.
Additional Manufacturer Narrative
H11: manufacturing review: the device history records have been reviewed, and this lot met all release criteria.Investigation summary: one electronic photo was provided and reviewed.The photo shows one encore probe placed inside a tapped packaging.The probe trap chamber is bloody and attached to the probe.The photo also shows a seal component detached from the probe assembly lying beside the probe, within the packaging.One 7gv encor biopsy probe was received for evaluation.Product packaging and label were returned referencing ecp017gv, lot# vtjtc001.The device included a partial sample trap assembly and removable probe cover; the saline cap was not returned.The device was received with the sample trap connected to the probe body.The seal component was received within the packaging, detached and appeared deformed.The probe was received with protective tubing with blood residue throughout.A visual inspection was performed, including rotation of the probe body to assess for cracks¿none were observed.The aperture was received in the opened position.No damage was identified to the rear housing.The probe gears appeared to be clean.The sample trap and internal tray assembly were removed for further inspection.While the shaft seal was not structurally deformed, the inversion of the top ridge was noted.No additional anomalies were observed.Due to the detachment of the shaft seal component, functional testing could not be performed.Dimensional evaluations of both the shaft seal and trap chamber components were conducted according to the applicable product drawings.All measured dimensions were found to be within specification.Based on the photo review and complaint sample evaluation, the reported device contamination cannot be confirmed.However, based on review of the product design and condition of the seal, the investigation is confirmed for detachment of device or device component.A definitive root cause could not be determined based upon the provided information.Labelling review: as the reported event did not allege a labeling or use related issue, a labeling review is not required.D4 (unique identifier (udi) #), g1, g3, h6 (device, component, method, result, conclusion) section a through f - the information provided by bd represents all of the known information at this time.Despite good faith efforts to obtain additional information, the complainant / reporter was unable or unwilling to provide any further patient, product, or procedural details to bd.
Event or Problem Description
On (b)(6) 2025, a patient underwent a vacuum assisted breast biopsy procedure.During the procedure, the purple foreign body was allegedly fell out from the probe.There was no reported patient injury.

• Brand Name: ENCOR BIO PROBE 7G VERT
• Common Device Name: BIOPSY INSTRUMENT
• Manufacturer (Section D): BARD PERIPHERAL VASCULAR, INC.; 1625 w 3rd st.; tempe AZ 85281
• Manufacturer (Section G): INFUS MEDICAL (THAILAND); 706 moo 4; bangpoo ind estate; samutprakarn province 10280 ; TH 10280
• Manufacturer Contact: brett curtice ; 800 w. rio salado pkwy; tempe, AZ 85281 ; 4803032689
• MDR Report Key: 21394681
• Report Number: 2020394-2025-00187
• Device Sequence Number: 18329613
• Product Code: KNW
• UDI-Device Identifier: 00801741086298
• UDI-Public: (01)00801741086298(11)240625(17)260528(10)VTJTC001
• Combination Product (Y/N): N
• Initial Reporter Country: TW
• PMA/510(K) Number: K051158
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Other,Foreign,Health Professional,User Facility,Company Representative
• Initial Reporter Occupation: Physician
• Type of Report: Initial,Followup
• Report Date (Section B): 08/26/2025

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 Expiration Date: 05/28/2026
• Device Catalogue Number: ECP017GV
• Device Lot Number: VTJTC001
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Date Returned to Manufacturer: 02/07/2025
• Is the Reporter a Health Professional?: Yes
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 01/22/2025
• Supplement Date Received by Manufacturer: 08/25/2025
• Initial Report FDA Received Date: 02/18/2025
• Supplement Report FDA Received Date: 08/28/2025
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Date Device Manufactured: 06/25/2024
• Is the Device Labeled for Single Use? (Y/N): Yes
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Initial
• Patient Sequence Number: 1
• Patient Sex: Unknown