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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: MERIT MEDICAL SYSTEMS, INC. ACHIEVE®; BIOPSY NEEDLE

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MERIT MEDICAL SYSTEMS, INC. ACHIEVE®; BIOPSY NEEDLE Back to Search Results
Catalog Number A149/B
Medical Device Problem Code Failure to Fire (2610)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 11/21/2025
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
The suspect device was not returned for evaluation.The complaint could not be confirmed.The root cause could not be determined.A search of the complaint database was performed and no similar complaints for this lot number were found.The device history record was reviewed, and no exception documents were found.Nonconformances of this nature are monitored by the operation team.This complaint will be used to trend for similar complaints.
 
Event or Problem Description
The account alleges that when attempting to take biopsies the biopsy device failed to collect a sample.No patient injury to report.
 
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Brand Name
ACHIEVE®
Common Device Name
BIOPSY NEEDLE
Manufacturer (Section D)
MERIT MEDICAL SYSTEMS, INC.
calle, sor juana ines de la cr
roberto de la madrid
tijuana, b.c. 22630
MX  22630
Manufacturer (Section G)
MERIT MEDICAL SYSTEMS, INC.
calle, sor juana ines de la cr
roberto de la madrid
tijuana, b.c. 22630
MX   22630
Manufacturer Contact
adrian cole
1600 w merit pkwy
south jordan, UT 84095
8012084225
MDR Report Key23844934
Report Number1721504-2025-00754
Device Sequence Number15911503
Product Code KNW
UDI-Device Identifier00884450443736
UDI-Public00884450443736
Combination Product (Y/N)N
Initial Reporter CountryIR
PMA/510(K) Number
K141552
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Foreign,User Facility,Company Representative
Initial Reporter Occupation Other
Type of Report Initial
Report Date (Section B) 12/18/2025
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 Catalogue NumberA149/B
Device Lot NumberI3129635
Was Device Available for Evaluation? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 12/16/2025
Initial Report FDA Received Date12/18/2025
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured02/27/2025
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 Number1
Patient SexUnknown
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