FDA Adverse Event
Malfunction
Summary report: N
MAGNUM DISPOSABLE CORE BIOPSY NEEDLE
MDR report key: 3101829
·
Received May 1, 2013
Report
- Report Number
- 2020394-2013-00130
- Event Type
- Malfunction
- Date Received
- May 1, 2013
- Report Date
- December 12, 2012
- Manufacturer
- BARD PERIPHERAL VASCULAR, INC.
- Product Code
- FCG
- PMA / PMN Number
- K934370
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- UK
- Reporter Occupation
- UNKNOWN
Narratives
Additional Manufacturer Narrative · 1
THE LOT NUMBER WAS PROVIDED AND THE DEVICE HISTORY RECORDS ARE BEING REVIEWED. THE INVESTIGATION IS CURRENTLY UNDERWAY.
Description of Event or Problem · 1
IT WAS REPORTED THAT THE BIOPSY NEEDLE IN THE UNOPENED PACKAGE APPEARED TO BE LONGER THAN THE LABELED LENGTHY OF 10CM. EVALUATION OF THE RETURNED DEVICE REVEALED THE NEEDLE WAS 13CM. THE NEEDLE WAS NOT USED FOR THE PROCEDURE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 190371 | MAGNUM DISPOSABLE CORE BIOPSY NEEDLE | FCG | BARD PERIPHERAL VASCULAR, INC. | REWE1689 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |