FDA Adverse Event Malfunction Summary report: N

BD UNIVIA¿ WHITACRE SPINAL NEEDLE

MDR report key: 13194994 · Received January 7, 2022

Report

Report Number
3003152976-2021-00890
Event Type
Malfunction
Date Received
January 7, 2022
Date of Event
November 26, 2021
Report Date
February 7, 2022
Manufacturer
BECTON DICKINSON, S.A.
Product Code
BSP
PMA / PMN Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
BR
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

INITIAL REPORTER ADDRESS 1: (B)(6). 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

INITIAL REPORTER ADDRESS 1: (B)(6). 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

H6: INVESTIGATION SUMMARY PHOTOS RECEIVED FOR INVESTIGATION. UPON VISUAL INSPECTION, TWO USED SPINAL NEEDLES ARE OBSERVED. UNABLE TO CONFIRM THE FAILURE BASED ON THE PHOTOS RECEIVED. A DEVICE HISTORY REVIEW WAS PERFORMED FOR LOT 2102006, NO DEVIATIONS OR NON-CONFORMANCES WERE IDENTIFIED DURING THE MANUFACTURING PROCESS THAT COULD HAVE CONTRIBUTED TO THIS ISSUE. RETAINED SAMPLES FROM THE SAME LOT WERE EVALUATED, NO ANOMALIES OR ISSUES WERE OBSERVED. FUNCTIONAL TEST WAS PERFORMED, SAMPLE WAS CONNECTED TO A SYRINGE, DURING THE TEST THE FLUID PASSED FROM THE SYRINGE THROUGH THE SPINAL NEEDLE AND NO LEAKAGE WAS NOTED AT THE LUER CONNECTION. 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. BASED ON THE QUALITY TEAM'S INVESTIGATION, WE ARE NOT ABLE TO IDENTIFY A ROOT CAUSE RELATED TO OUR MANUFACTURING PROCESS AT THIS TIME.

Description of Event or Problem · 0

IT WAS REPORTED THAT BD UNIVIA¿ WHITACRE SPINAL NEEDLE BROKE AND LEAKED. THERE WAS NO REPORT OF PATIENT IMPACT. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER, TRANSLATED FROM (B)(6) TO ENGLISH: "DURING SPINAL ANESTHESIA PROCEDURE IN A PATIENT WITH A PENCIL POINT WHITACRE BD 27 SPINAL NEEDLE, ANESTHETIC LEAKAGE WAS OBSERVED AT THE JUNCTION OF THE NEEDLE AND MANDREL AND THE NEEDLE BROKE. A NEW PUNCTURE HAD TO BE PERFORMED."

Description of Event or Problem · 0

IT WAS REPORTED THAT BD UNIVIA¿ WHITACRE SPINAL NEEDLE BROKE AND LEAKED. THERE WAS NO REPORT OF PATIENT IMPACT. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER, TRANSLATED FROM (B)(6) TO ENGLISH: "DURING SPINAL ANESTHESIA PROCEDURE IN A PATIENT WITH A PENCIL POINT WHITACRE BD 27 SPINAL NEEDLE, ANESTHETIC LEAKAGE WAS OBSERVED AT THE JUNCTION OF THE NEEDLE AND MANDREL AND THE NEEDLE BROKE. A NEW PUNCTURE HAD TO BE PERFORMED."

Description of Event or Problem · 0

IT WAS REPORTED THAT BD UNIVIA¿ WHITACRE SPINAL NEEDLE BROKE AND LEAKED. THERE WAS NO REPORT OF PATIENT IMPACT. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER, TRANSLATED FROM PORTUGUESE TO ENGLISH: "DURING SPINAL ANESTHESIA PROCEDURE IN A PATIENT WITH A PENCIL POINT WHITACRE BD 27 SPINAL NEEDLE, ANESTHETIC LEAKAGE WAS OBSERVED AT THE JUNCTION OF THE NEEDLE AND MANDREL AND THE NEEDLE BROKE. A NEW PUNCTURE HAD TO BE PERFORMED."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2477535 BD UNIVIA¿ WHITACRE SPINAL NEEDLE ANESTHESIA CONDUCTION NEEDLE BSP BECTON DICKINSON, S.A. 2102006

Patients

Seq Age Sex Outcome Treatment
1 Unknown