| Brand Name | Maxcore |
| 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 |
|
michael
gaffney
|
| 800 w. rio salado pkwy |
| tempe, AZ 85281
|
|
+1(480)303-2689
|
|
| MDR Report Key | 50539152 |
| Report Number | 2020394-2026-02274 |
| Device Sequence Number | 5976596 |
| Product Code |
KNW
|
| UDI-Device Identifier | 00801741084478 |
| UDI-Public | (01)00801741084478(11)250904(17)280731(10)REKV0196 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | CH |
| PMA/510(K) Number | K133948 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Other,Foreign,Company Representative |
| Initial Reporter Occupation |
Physician
|
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
09/23/2026 |
| 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 Number | MC1816 |
| Device Lot Number | REKV0196 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
Yes
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 08/10/2026 |
| Supplement Date Received by Manufacturer | 09/23/2026
|
| Initial Report FDA Received Date | 09/01/2026 |
| Supplement Report FDA Received Date | 09/26/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 09/04/2025 |
| 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 Number | 1 |
| Patient Sex | Unknown |
|
|