FDA Adverse Event Malfunction Summary report: N

BD MICROLANCE HYPODERMIC NEEDLES

MDR report key: 12787911 · Received November 10, 2021

Report

Report Number
3002682307-2021-00603
Event Type
Malfunction
Date Received
November 10, 2021
Date of Event
June 8, 2021
Report Date
November 8, 2021
Manufacturer
BECTON DICKINSON, S.A.
Product Code
FMI
PMA / PMN Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

INVESTIGATION SUMMARY: A DEVICE HISTORY RECORD REVIEW WAS COMPLETED FOR PROVIDED LOT NUMBER 210232. THE REVIEW DID NOT REVEAL ANY DETECTED ABNORMALITIES DURING THE PRODUCTION PROCESS THAT COULD HAVE CONTRIBUTED TO THE REPORTED DEFECT AND ALL QUALITY TESTS WERE FOUND TO BE WITHIN SPECIFICATION. TO AID IN THE INVESTIGATION OF THIS ISSUE, FIVE NEEDLE SAMPLES WERE RETURNED FOR EVALUATION BY OUR QUALITY ENGINEER TEAM. FOUR OF THE NEEDLES WERE PACKAGED. ONE OF THE PACKAGED NEEDLES SHOWED NO FOREIGN MATTER. AN UNPACKAGED NEEDLE WAS ALSO RETURNED BY THE CUSTOMER. THE UNPACKAGED NEEDLE HAD EPOXY ALONG THE METAL CANNULA SURFACE. EPOXY IS THE ADHESIVE USED TO JOIN THE CANNULA TO THE PLASTIC HUB. THE EPOXY ON THE CANNULA MOST LIKELY RESULTED FROM A TEMPORARY STOPPAGE OR MALFUNCTION IN THE EPOXY DOSAGE MACHINE. AS A CONSEQUENCE, A HIGHER AMOUNT OF EPOXY WAS ADDED AND THEN DROPPED ONTO THE AFFECTED CANNULA. BD KEEPS THE PARTICULATE MATTER TO EXTREMELY LOW LEVELS DUE TO THE STRINGENT PREVENTIVE MEASURES IN PLACE. THE ENTIRE ASSEMBLY AND PACKAGING PROCESS TAKES PLACE IN AN ENVIRONMENTAL CONTROLLED ROOM WHERE GOOD MANUFACTURING PRACTICES ARE STRICTLY FOLLOWED. WE ARE CONFIDENT THESE WERE ISOLATED INCIDENTS WITH AN UNLIKELY RECURRENCE. FURTHER ACTION HAS NOT BEEN DETERMINED NECESSARY AT THIS TIME. OUR QUALITY TEAM WILL CLOSELY MONITOR THE PRODUCTION PROCESS FOR SIGNS OF THIS POTENTIAL DEFECT AND ANY EMERGING TRENDS.

Description of Event or Problem · 0

IT WAS REPORTED THAT 3 BD MICROLANCE HYPODERMIC NEEDLES HAD EPOXY ON THE CANNULA. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER, TRANSLATED FROM (B)(6) TO ENGLISH: INVESTIGATION FOUND THERE WAS EPOXY ON CANNULA.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1689976 BD MICROLANCE HYPODERMIC NEEDLES HYPODERMIC SINGLE LUMEN NEEDLE FMI BECTON DICKINSON, S.A. 210232

Patients

Seq Age Sex Outcome Treatment
1 Unknown