FDA Adverse Event Malfunction Summary report: N

BD POSIFLUSH XS PRE-FILLED FLUSH SYRINGE NACL 0.9%

MDR report key: 10078592 · Received May 21, 2020

Report

Report Number
9616657-2020-00079
Event Type
Malfunction
Date Received
May 21, 2020
Date of Event
April 30, 2020
Report Date
June 18, 2020
Manufacturer
BECTON, DICKINSON AND CO.
Product Code
NGT
PMA / PMN Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 0

THE FOLLOWING FIELDS WERE UPDATED DUE TO ADDITIONAL INFORMATION: THERE WERE MULTIPLE LOT NUMBERS REPORTED TO BE INVOLVED. THE INFORMATION FOR EACH LOT NUMBER IS AS FOLLOWS: D.4. MEDICAL DEVICE LOT #: 9192691. D.4. MEDICAL DEVICE EXPIRATION DATE:2022-06-30 . H.4. DEVICE MANUFACTURE DATE: 2019-07-11. D.4. MEDICAL DEVICE LOT #: 9248167. D.4. MEDICAL DEVICE EXPIRATION DATE: 2022-08-31 . H.4. DEVICE MANUFACTURE DATE: 2019-09-05. D.4. MEDICAL DEVICE LOT #: 9255893. D.4. MEDICAL DEVICE EXPIRATION DATE: 2022-08-31. H.4. DEVICE MANUFACTURE DATE: 2019-09-12. H.6. INVESTIGATION SUMMARY A DEVICE HISTORY RECORD REVIEW WAS PERFORMED FOR PROVIDED LOT NUMBERS 9192691, 9255893, AND 9248167. THE REVIEW DID NOT REVEAL ANY DETECTED QUALITY ISSUES DURING THE PRODUCTION PROCESS THAT COULD HAVE CONTRIBUTED TO THIS REPORTED INCIDENT. TO AID IN THE INVESTIGATION OF THIS ISSUE, TWO PICTURE SAMPLES BELONGING TO LOT NUMBER 9192691 WERE RECEIVED FOR EVALUATION BY OUR QUALITY ENGINEER TEAM. THROUGH EXAMINATION OF THE PICTURES, THE PACKAGES WERE OBSERVED DAMAGED AND DEFECTIVE. THE EXACT CAUSE FOR THIS INCIDENT IS CURRENTLY BEING IDENTIFIED THROUGH AN ONGOING INVESTIGATION; HOWEVER, THIS ISSUE HAS BEEN ISOLATED TO PRODUCT MANUFACTURED USING ONE SINGLE PACKAGING LINE. THIS IS A KNOWN ISSUE RELATED TO A RECENT FIELD SAFETY NOTICE, AS PER (B)(4). IT IS UNDER INVESTIGATION AND IS BEING TRACKED BY CAPA 1472544. ALL AFFECTED PRODUCT HAS BEEN PLACED ON HOLD AND PRODUCTION HAS BEEN CEASED ON THE RESPONSIBLE PACKAGING LINE. OUR QUALITY TEAM IS CONTINUING TO INVESTIGATE THIS ISSUE FOR FURTHER CORRECTIVE AND PREVENTIVE ACTIONS.

Description of Event or Problem · 0

IT WAS REPORTED THAT AN UNSPECIFIED NUMBER OF BD POSIFLUSH¿ XS PRE-FILLED FLUSH SYRINGES NACL 0.9% EXPERIENCED A DAMAGED OR OPEN UNIT PACKAGE WHERE STERILITY WAS COMPROMISED. IT HAS NOT BEEN SPECIFIED WHETHER THE PRODUCT DEFECT WAS NOTED PRIOR TO, DURING, OR AFTER USE. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: THE FOLLOWING QUESTION WAS RECEIVED FROM A CUSTOMER: I WOULD LIKE TO ASK YOU IF THIS AFFECTS THE HEALTH/SAFETY OF THE PATIENTS? CAN THE TORN OPEN PACKAGES STILL BE USED OR NOT? IF NO, WHAT ABOUT THE REFUND OF THE DAMAGED SYRINGES? ON PROVIDED PICTURES PARTS OF THE PRODUCTS COME OUT OF THE PACKAGING CAN BE SEEN.

Additional Manufacturer Narrative · 1

DATE OF EVENT: UNKNOWN. THE DATE RECEIVED BY MANUFACTURER HAS BEEN USED FOR THIS FIELD. DEVICE EXPIRATION DATE: UNKNOWN. A DEVICE EVALUATION IS ANTICIPATED, BUT HAS NOT YET BEGUN. UPON COMPLETION OF THE INVESTIGATION, A SUPPLEMENTAL REPORT WILL BE FILED. DEVICE MANUFACTURE DATE: UNKNOWN.

Description of Event or Problem · 1

IT WAS REPORTED THAT AN UNSPECIFIED NUMBER OF BD POSIFLUSH¿ XS PRE-FILLED FLUSH SYRINGES NACL 0.9% EXPERIENCED A DAMAGED OR OPEN UNIT PACKAGE WHERE STERILITY WAS COMPROMISED. IT HAS NOT BEEN SPECIFIED WHETHER THE PRODUCT DEFECT WAS NOTED PRIOR TO, DURING, OR AFTER USE. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: THE FOLLOWING QUESTION WAS RECEIVED FROM A CUSTOMER: I WOULD LIKE TO ASK YOU IF THIS AFFECTS THE HEALTH/SAFETY OF THE PATIENTS? CAN THE TORN OPEN PACKAGES STILL BE USED OR NOT? IF NO, WHAT ABOUT THE REFUND OF THE DAMAGED SYRINGES? ON PROVIDED PICTURES PARTS OF THE PRODUCTS COME OUT OF THE PACKAGING CAN BE SEEN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
545038 BD POSIFLUSH XS PRE-FILLED FLUSH SYRINGE NACL 0.9% PREFILLED SALINE SYRINGE NGT BECTON, DICKINSON AND CO. SEE H.10

Patients

Seq Age Sex Outcome Treatment
1 Other