ENCOR FOOT PEDAL
Report
- Report Number
- 2020394-2026-01028
- Event Type
- Malfunction
- Date Received
- April 28, 2026
- Date of Event
- April 2, 2026
- Report Date
- April 21, 2026
- Manufacturer
- BARD PERIPHERAL VASCULAR, INC.
- Product Code
- KNW
- UDI-DI
- 00801741086557
- PMA / PMN Number
- K013641
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- BR
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
H11: AS THE SERIAL NUMBER FOR THE DEVICE WAS NOT PROVIDED, A REVIEW OF THE DEVICE HISTORY RECORDS CANNOT 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. D2B (GEI; KNW). 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.
A PATIENT UNDERWENT A BIOPSY PROCEDURE USING ENCOR DRIVER. IT WAS REPORTED THAT DURING DEVICE SETUP, THE ENCOR DRIVER WAS REPORTED TO HAVE REPEATEDLY AND UNINTENTIONALLY ACTIVATED ITS CUTTING MECHANISM. THE MODALITY USED DURING SETUP WAS UNKNOWN; THEREFORE, THE EVENT WAS DOCUMENTED UNDER AN ENCOR ENSPIRE SYSTEM (DYEPF015) WITH AN UNKNOWN ENCOR FOOT PEDAL. THERE WAS NO PATIENT INVOLVEMENT. FURTHERMORE, ADDITIONAL DETAILS INDICATED THAT A DIFFERENT NEEDLE WAS USED DURING SUBSEQUENT TESTING, AND THE ISSUE DID NOT REOCCUR.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1072864 | ENCOR FOOT PEDAL | REUSABLE BIOPSY | KNW | BARD PERIPHERAL VASCULAR, INC. | 00801741086557 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |