FDA Adverse Event Malfunction Summary report: N

SYRINGE 50ML LL AMBER

MDR report key: 10551582 · Received September 17, 2020

Report

Report Number
3003152976-2020-00411
Event Type
Malfunction
Date Received
September 17, 2020
Date of Event
August 28, 2020
Report Date
November 19, 2020
Manufacturer
BECTON DICKINSON, S.A.
Product Code
FMF
PMA / PMN Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 0

THE FOLLOWING FIELDS WERE UPDATED DUE TO ADDITIONAL INFORMATION: D10: DEVICE AVAILABLE FOR EVAL YES. D10: RETURNED TO MANUFACTURER ON: 2020-11-11. H6: INVESTIGATION SUMMARY TWELVE SEALED SAMPLES OF LOT 2002254 WERE PROVIDED TO OUR QUALITY TEAM FOR INVESTIGATION THE PRODUCT WAS VISUALLY INSPECTED, NO DAMAGE OR MOLDING DEFECTS WERE OBSERVED IN THE SYRINGE OR ANY COMPONENTS THAT MAY HAVE CONTRIBUTED TO THE REPORTED LEAK AND THE STOPPER WAS VERIFIED TO BE PROPERLY ASSEMBLED ONTO THE PLUNGER. A DEVICE HISTORY REVIEW WAS PERFORMED FOR THE REPORTED LOT 2002254, NO DEVIATIONS OR NON-CONFORMANCES WERE IDENTIFIED DURING THE MANUFACTURING PROCESS THAT COULD HAVE CONTRIBUTED TO THIS ISSUE. TEN RETAINED SAMPLES OF LOT 2002254 ALONG WITH THE TWELVE SAMPLES THAT WERE RETURNED WERE USED TO CONDUCT A LEAKAGE TEST. THE RETAINED SAMPLES WERE INSPECTED, NO DAMAGE OR DEFECTS WERE OBSERVED AND AGAIN THE STOPPERS WERE ALL PROPERLY ASSEMBLED ONTO THE PLUNGER ROD. IN ALL CASES THE PRODUCT FUNCTIONED AS INTENDED AND NO LEAKAGES OCCURRED. FINAL PRODUCTS IN THIS MANUFACTURING LINE, FOR THIS REFERENCE ARE SAMPLED AND THEY ARE SUBJECTED TO VISUAL AND FUNCTIONAL INSPECTIONS DURING THE DIFFERENT MANUFACTURING SUB-PROCESSES ACCORDING TO PROCEDURES, INCLUDING TIGHTNESS VERIFICATION OF THE STOPPER AND LEAKAGE TESTING. BASED ON THE AVAILABLE INFORMATION WE ARE NOT ABLE TO DETERMINE A ROOT CAUSE AT THIS TIME. COMPLAINTS RECEIVED FOR THIS DEFECT AND DEVICE WILL BE MONITORED BY OUR QUALITY TEAM FOR SIGNS OF EMERGING TRENDS.

Additional Manufacturer Narrative · 0

H6: INVESTIGATION SUMMARY: NO PHOTOS OR PHYSICAL SAMPLES THAT DISPLAY THE REPORTED CONDITION WERE AVAILABLE FOR INVESTIGATION. A DEVICE HISTORY REVIEW WAS PERFORMED FOR THE REPORTED LOT 2002254, NO DEVIATIONS OR NON-CONFORMANCES WERE IDENTIFIED DURING THE MANUFACTURING PROCESS THAT COULD HAVE CONTRIBUTED TO THIS ISSUE. TEN RETAINED SAMPLES OF LOT 2002254 WERE USED TO CONDUCT A LEAKAGE TEST. THE PRODUCT WAS VISUALLY INSPECTED, NO DEFECTS OR DAMAGE WAS NOTED, THE STOPPER WAS PROPERLY ASSEMBLED ONTO THE PLUNGER, AND NO LEAK WAS IDENTIFIED. FINAL PRODUCTS IN THIS MANUFACTURING LINE, FOR THIS REFERENCE ARE SAMPLED AND THEY ARE SUBJECTED TO VISUAL AND FUNCTIONAL INSPECTIONS DURING THE DIFFERENT MANUFACTURING SUB-PROCESSES ACCORDING TO PROCEDURES, INCLUDING TIGHTNESS VERIFICATION OF THE STOPPER AND LEAKAGE TESTING. BASED ON THE AVAILABLE INFORMATION WE ARE NOT ABLE TO DETERMINE A ROOT CAUSE AT THIS TIME. COMPLAINTS RECEIVED FOR THIS DEFECT AND DEVICE WILL BE MONITORED BY OUR QUALITY TEAM FOR SIGNS OF EMERGING TRENDS. H3 OTHER TEXT : SEE H.10.

Description of Event or Problem · 0

IT WAS REPORTED THAT SYRINGE 50ML LL AMBER LEAKED DURING USE. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: I AM CONTACTING YOU TODAY TO INFORM YOU OF A QUALITY DEFECT FOUND ON SEVERAL OF YOUR PRODUCTS. IN FACT, LEAKS AFTER SAMPLING WERE NOTED ON SEVERAL OCCASIONS ON SYRINGES IN THE SAME BATCH. THE DEVICES WERE SET ASIDE. CONCERNING THE DEFECTS OBSERVED DURING THE USE OF THE BD LUER-LOCK 50ML SYRINGES, THE LEAKAGE WAS OBSERVED AT THE PLUNGER LEVEL JUST AFTER SAMPLING. THE SYRINGES WERE IN CONTACT WITH THE PRODUCTS USUALLY HANDLED IN THE CHEMOTHERAPY PRODUCTION UNIT AND NO AGENT WAS CONTAMINATED (GLOVES WERE WORN). THE CONSEQUENCES WERE A REJECTION OF THE PREPARATION AND THE NEED TO GENERATE THE PRESCRIPTION AGAIN (CAUSING A DELAY IN DELIVERY). IT WAS DECIDED TO SUSPEND THE USE OF THE BATCH AFTER THE THIRD INCIDENT (BATCH QUARANTINED).

Description of Event or Problem · 0

IT WAS REPORTED THAT SYRINGE 50ML LL AMBER LEAKED DURING USE. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: I AM CONTACTING YOU TODAY TO INFORM YOU OF A QUALITY DEFECT FOUND ON SEVERAL OF YOUR PRODUCTS. IN FACT, LEAKS AFTER SAMPLING WERE NOTED ON SEVERAL OCCASIONS ON SYRINGES IN THE SAME BATCH. THE DEVICES WERE SET ASIDE. CONCERNING THE DEFECTS OBSERVED DURING THE USE OF THE BD LUER-LOCK 50ML SYRINGES, THE LEAKAGE WAS OBSERVED AT THE PLUNGER LEVEL JUST AFTER SAMPLING. THE SYRINGES WERE IN CONTACT WITH THE PRODUCTS USUALLY HANDLED IN THE CHEMOTHERAPY PRODUCTION UNIT AND NO AGENT WAS CONTAMINATED (GLOVES WERE WORN). THE CONSEQUENCES WERE A REJECTION OF THE PREPARATION AND THE NEED TO GENERATE THE PRESCRIPTION AGAIN (CAUSING A DELAY IN DELIVERY). IT WAS DECIDED TO SUSPEND THE USE OF THE BATCH AFTER THE THIRD INCIDENT (BATCH QUARANTINED).

Additional Manufacturer Narrative · 1

DATE OF EVENT: UNKNOWN. THE DATE RECEIVED BY MANUFACTURER HAS BEEN USED FOR THIS FIELD. A DEVICE EVALUATION AND/OR DEVICE HISTORY REVIEW IS ANTICIPATED, BUT IS NOT COMPLETE. UPON COMPLETION, A SUPPLEMENTAL REPORT WILL BE FILED. (B)(4).

Description of Event or Problem · 1

IT WAS REPORTED THAT SYRINGE 50 ML LL AMBER LEAKED DURING USE. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: I AM CONTACTING YOU TODAY TO INFORM YOU OF A QUALITY DEFECT FOUND ON SEVERAL OF YOUR PRODUCTS. IN FACT, LEAKS AFTER SAMPLING WERE NOTED ON SEVERAL OCCASIONS ON SYRINGES IN THE SAME BATCH. THE DEVICES WERE SET ASIDE. CONCERNING THE DEFECTS OBSERVED DURING THE USE OF THE BD LUER-LOCK 50 ML SYRINGES, THE LEAKAGE WAS OBSERVED AT THE PLUNGER LEVEL JUST AFTER SAMPLING. THE SYRINGES WERE IN CONTACT WITH THE PRODUCTS USUALLY HANDLED IN THE CHEMOTHERAPY PRODUCTION UNIT AND NO AGENT WAS CONTAMINATED (GLOVES WERE WORN). THE CONSEQUENCES WERE A REJECTION OF THE PREPARATION AND THE NEED TO GENERATE THE PRESCRIPTION AGAIN (CAUSING A DELAY IN DELIVERY). IT WAS DECIDED TO SUSPEND THE USE OF THE BATCH AFTER THE THIRD INCIDENT (BATCH QUARANTINED).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1016101 SYRINGE 50ML LL AMBER SYRINGE FMF BECTON DICKINSON, S.A. 2002254

Patients

Seq Age Sex Outcome Treatment
1 Other