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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: Bard Peripheral Vascular, Inc. Maxcore; Biopsy Instrument

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Bard Peripheral Vascular, Inc. Maxcore; Biopsy Instrument Back to Search Results
Catalog Number MC1816
Medical Device Problem Code Failure to Fire (2610)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 06/12/2026
Type of Reportable Event Malfunction
Event or Problem Description
On (b)(6), 2026, a patient underwent a kidney biopsy procedure using the maxcore instrument.During the procedure, it was reported that the cannula failed to retract.Subsequently, a repeat puncture was performed.There was no reported patient injury.
 
Event or Problem Description
On (b)(6) 2026, a pediatric patient underwent a kidney biopsy procedure using a maxcore device.During the procedure, it was reported that the cannula failed to retract.As a result, repeat puncture was performed.There was no reported patient injury.
 
Additional Manufacturer Narrative
H11: as the lot number for the device was provided, a review of the device history records was performed.The return of the sample is pending.The investigation of the reported event is currently underway.Section a through f : the information provide 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: the physical device was not returned for evaluation.No photos were provided for review.Therefore, the investigation is inconclusive for the reported failure as no objective evidence was provided for review.A definitive root cause for the reported failure to fire issue 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.E1 (b)(6) university (formerly baoding children's hospital)), g3, h6 (result, conclusion).Section a through f: the information provide 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.
 
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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 Key50689915
Report Number2020394-2026-02509
Device Sequence Number9614660
Product Code KNW
UDI-Device Identifier00801741084478
UDI-Public(01)00801741084478(11)260110(17)281031(10)REKY1711
Combination Product (Y/N)N
Initial Reporter CountryCH
PMA/510(K) Number
K133948
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Other
Initial Reporter Occupation Physician
Type of Report Initial,Followup
Report Date (Section B) 09/17/2026
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 NumberMC1816
Device Lot NumberREKY1711
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 08/19/2026
Supplement Date Received by Manufacturer09/17/2026
Initial Report FDA Received Date09/09/2026
Supplement Report FDA Received Date09/23/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured01/10/2026
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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