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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BARD PERIPHERAL VASCULAR, INC. MAGNUM NEEDLE; BIOPSY INSTRUMENT

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BARD PERIPHERAL VASCULAR, INC. MAGNUM NEEDLE; BIOPSY INSTRUMENT Back to Search Results
Catalog Number MN1416
Medical Device Problem Code Device Markings/Labelling Problem (2911)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 01/14/2026
Type of Reportable Event Malfunction
Event or Problem Description
A patient prepped for a biopsy procedure using a magnum.Prior to the procedure, it was noted that the barcode was not readable by radio frequency.There was no patient contact.
 
Additional Manufacturer Narrative
H11: as the lot number for the device was provided, a review of the device history records will be performed.The sample was not returned to the manufacturer for inspection/evaluation.Therefore, the investigation of the reported event is inconclusive.Based upon the available information, the definitive root cause for this event is unknown.The instructions for use (ifu) is adequate for the reported device/patient code(s) and provides general instructions for use, as well as warnings, precautions and potential complications associated with the device.Upon receipt of new or additional information, a follow-up report will be submitted as applicable.Section a through f - the information provided by bd represents all 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: a sample evaluation was not performed as the physical device was not returned for analysis.The investigation was therefore limited to photo review and a review of applicable labeling and manufacturing processes.One photograph of the magnum device label was provided and reviewed.The image provided depicts the product label.A review against the applicable labeling specifications confirmed the label format and content are consistent with the requirements of the current labeling documentation.No visible labeling discrepancies were observed from the image provided.A parallel evaluation was conducted by the reynosa site based on one photograph of the case and tyvek pouch labels.The image reviewed shows a label indicating lot number rejt3475, material number mn1416, and associated barcode information, as well as a generic product indication label.No obvious visual damage or abnormalities affecting the label or barcode were noted in the image.Therefore, the investigation for the reported labeling issue is inconclusive as the insufficient evidence to confirm the reported failure.A definitive root cause for the alleged labeling problem could not be determined based upon the provided information.Labeling review: as the reported event did not allege a labeling or use related issue, a labeling review is not required.G3, h6 (component, method).Section a through f: the information provided by bd represents all 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
A patient prepped for a biopsy procedure using a magnum.Prior to the procedure, it was noted that the barcode was not readable by radio frequency.There was no patient contact.
 
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Brand Name
MAGNUM NEEDLE
Common Device Name
BIOPSY INSTRUMENT
Manufacturer (Section D)
BARD PERIPHERAL VASCULAR, INC.
1625 w 3rd st.
tempe AZ 85281
Manufacturer (Section G)
BARD REYNOSA S.A. DE C.V. -9617592
blvd. montebello #1
parque industrial colonial
reynosa, tamaulipas 88780
MX   88780
Manufacturer Contact
brett curtice
800 w. rio salado pkwy
tempe, AZ 85281
4803032689
MDR Report Key24289569
Report Number2020394-2026-00184
Device Sequence Number10247607
Product Code FCG
UDI-Device Identifier00801741084263
UDI-Public(01)00801741084263(11)240905(17)270531(10)REJT3475
Combination Product (Y/N)N
Initial Reporter CountryCO
PMA/510(K) Number
K934370
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Other,Foreign,Health Professional,Company Representative,Distributor
Initial Reporter Occupation Non-Healthcare Professional
Type of Report Initial,Followup
Report Date (Section B) 03/11/2026
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 NumberMN1416
Device Lot NumberREJT3475
Was Device Available for Evaluation? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 01/14/2026
Supplement Date Received by Manufacturer05/22/2026
Initial Report FDA Received Date02/09/2026
Supplement Report FDA Received Date05/25/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured09/05/2024
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 Number1
Patient SexUnknown
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