FDA Adverse Event Malfunction Summary report: N

BD PLASTIPAK¿ HYPODERMIC LUER-LOK¿ SYRINGE

MDR report key: 13192254 · Received January 7, 2022

Report

Report Number
3003152976-2021-00886
Event Type
Malfunction
Date Received
January 7, 2022
Date of Event
December 10, 2021
Report Date
February 14, 2022
Manufacturer
BECTON DICKINSON, S.A.
Product Code
FMF
PMA / PMN Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NZ
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

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

Additional Manufacturer Narrative · 0

THE FOLLOWING FIELDS WERE UPDATED DUE TO ADDITIONAL INFORMATION: D10: DEVICE AVAILABLE FOR EVAL YES. D10: RETURNED TO MANUFACTURER ON: 2022-01-06 . H6: INVESTIGATION SUMMARY SIXTEEN SAMPLES AND PHOTOS RECEIVED FOR INVESTIGATION. UPON VISUAL INSPECTION, IT CAN BE OBSERVED POLYPROPYLENE FIBERS IN THE TIP OF ALL OF THEM. A DEVICE HISTORY REVIEW WAS PERFORMED FOR LOT 2011103, NO DEVIATIONS OR NON-CONFORMANCES WERE IDENTIFIED DURING THE MANUFACTURING PROCESS THAT COULD HAVE CONTRIBUTED TO THIS ISSUE. POSSIBLE ROOT CAUSE, THE POLYPROPYLENE FIBER HAS BEEN GENERATED IN THE JOINT LINE OF THE ROOF AND CYLINDER. THIS DEFECT COULD HAVE BEEN GENERATED DURING MOLDING PROCESS DUE TO A FAILURE IN THE MOLD AT THIS JOINT LINE OR DURING PIECES TRANSPORT PROCESS. 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.

Description of Event or Problem · 0

IT WAS REPORTED THAT SMALL PLASTIC TAGS/SHEDS WERE ATTACHED TO THE TIP OF BD PLASTIPAK¿ HYPODERMIC LUER-LOK¿ SYRINGE. THIS EVENT OCCURRED 16 TIMES. THERE WAS NO REPORT OF PATIENT IMPACT. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: THE RECENT DELIVERY OF 305959 BD 10 ML SYRINGES (LOT # 2011103) HAS FAILED OUR QUALITY INSPECTION. WE FOUND 16 OUT OF 200 SYRINGES (8.0 %) WITH SMALL PLASTIC ¿TAGS¿ OR ¿SHREDS¿ ATTACHED TO THE TIP OF THE SYRINGE. WHILST THIS IS A MINOR DEFECT IN TERMS OF THE NATURE OF THE DEFECT ITSELF, THE LOCATION OF THESE PLASTIC PARTICLES MEANS THAT THERE¿S A GOOD POSSIBILITY OF THEM DETACHING AND GOING INTO OUR FILLED SYRINGES IN WHICH CASE THIS WOULD BE A CRITICAL DEFECT AND IF THE PRODUCT WERE ON THE MARKET A LIKELY RECALL. THE LAST PHOTO SHOWS A PLASTIC SHRED ON THE OUTSIDE OF THE LUER LOCK REGION, WHICH WOULD BE CONSIDERED A MINOR / LOW RISK BUT THE SYRINGE ALSO HAS A ROUGH AREA ON THE TIP WHICH MAY BE ABLE TO BREAK OFF. MOREOVER DEFECT LEVEL OF 8.0 % WOULD NOT PASS AN AQL FOR ANY TYPE OF DEFECT.

Description of Event or Problem · 0

IT WAS REPORTED THAT SMALL PLASTIC TAGS/SHEDS WERE ATTACHED TO THE TIP OF BD PLASTIPAK¿ HYPODERMIC LUER-LOK¿ SYRINGE. THIS EVENT OCCURRED 16 TIMES. THERE WAS NO REPORT OF PATIENT IMPACT. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: THE RECENT DELIVERY OF 305959 BD 10 ML SYRINGES (LOT # 2011103) HAS FAILED OUR QUALITY INSPECTION. WE FOUND 16 OUT OF 200 SYRINGES (8.0 %) WITH SMALL PLASTIC ¿TAGS¿ OR ¿SHREDS¿ ATTACHED TO THE TIP OF THE SYRINGE. WHILST THIS IS A MINOR DEFECT IN TERMS OF THE NATURE OF THE DEFECT ITSELF, THE LOCATION OF THESE PLASTIC PARTICLES MEANS THAT THERE¿S A GOOD POSSIBILITY OF THEM DETACHING AND GOING INTO OUR FILLED SYRINGES IN WHICH CASE THIS WOULD BE A CRITICAL DEFECT AND IF THE PRODUCT WERE ON THE MARKET A LIKELY RECALL. THE LAST PHOTO SHOWS A PLASTIC SHRED ON THE OUTSIDE OF THE LUER LOCK REGION, WHICH WOULD BE CONSIDERED A MINOR / LOW RISK BUT THE SYRINGE ALSO HAS A ROUGH AREA ON THE TIP WHICH MAY BE ABLE TO BREAK OFF. MOREOVER DEFECT LEVEL OF 8.0 % WOULD NOT PASS AN AQL FOR ANY TYPE OF DEFECT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
794500 BD PLASTIPAK¿ HYPODERMIC LUER-LOK¿ SYRINGE PISTON SYRINGE FMF BECTON DICKINSON, S.A. 2011103

Patients

Seq Age Sex Outcome Treatment
1 Unknown