| Brand Name | MAX-CORE |
| Common Device Name | INSTRUMENT, BIOPSY |
| Manufacturer (Section D) |
| BARD PERIPHERAL VASCULAR, INC. |
| 1625 w 3rd st |
| tempe AZ 85281 |
|
| MDR Report Key | 25014740 |
| Report Number | 25014740 |
| Device Sequence Number | 9713665 |
| Product Code |
KNW
|
| UDI-Device Identifier | 00801741084492 |
| UDI-Public | (01)00801741084492 |
| Combination Product (Y/N) | N |
| Initial Reporter State | LA |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
User Facility
|
| Initial Reporter Occupation |
Risk Manager
|
| Type of Report
| Initial |
| Report Date (Section B) |
04/09/2026 |
| Report Date (Section F) |
04/09/2026 |
| 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 Model Number | MC1825 |
| Device Catalogue Number | MC1825 |
| Device Lot Number | RELN1352 |
| Was Device Available for Evaluation? |
Yes
|
| Is the Reporter a Health Professional? |
No
|
| Was the Report Sent to FDA? |
Yes
|
| Event Location |
Ambulatory Surgical Facility
|
| Date Report to Manufacturer | 04/28/2026 |
| Initial Date Received by Manufacturer | Not provided |
| Initial Report FDA Received Date | 04/28/2026 |
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Usage of Device |
Unknown
|
| Patient Sequence Number | 1 |
| Outcome Attributed to Adverse Event |
Other;
|
| Patient Sex | Male |
| Date Report Sent to FDA | 04/09/2026 |
|
|