FDA Adverse Event Malfunction Summary report: N

BD DISCARDIT¿ II - 2-PIECE SYRINGE

MDR report key: 13444710 · Received February 3, 2022

Report

Report Number
3002682307-2022-00040
Event Type
Malfunction
Date Received
February 3, 2022
Date of Event
January 20, 2022
Report Date
May 16, 2022
Manufacturer
BECTON DICKINSON, S.A.
Product Code
FMF
PMA / PMN Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
BE
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. THERE WERE MULTIPLE LOT NUMBERS REPORTED TO BE INVOLVED. THE INFORMATION FOR EACH LOT NUMBER IS AS FOLLOWS: MEDICAL DEVICE LOT #: 2005245. MEDICAL DEVICE EXPIRATION DATE: 04/30/2025. DEVICE MANUFACTURE DATE: 05/20/2020. MEDICAL DEVICE LOT #: 2101101. MEDICAL DEVICE EXPIRATION DATE: 12/31/2025. DEVICE MANUFACTURE DATE: 12/29/2020. MEDICAL DEVICE LOT #: 2101228. MEDICAL DEVICE EXPIRATION DATE: 12/31/2025. DEVICE MANUFACTURE DATE: 01/20/2021. 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

DATE OF EVENT: UNKNOWN. THE DATE RECEIVED BY MANUFACTURER HAS BEEN USED FOR THIS FIELD. THERE WERE MULTIPLE LOT NUMBERS REPORTED TO BE INVOLVED. THE INFORMATION FOR EACH LOT NUMBER IS AS FOLLOWS: MEDICAL DEVICE LOT #: 2005245. MEDICAL DEVICE EXPIRATION DATE: 04/30/2025. DEVICE MANUFACTURE DATE: 05/20/2020. MEDICAL DEVICE LOT #: 2101101. MEDICAL DEVICE EXPIRATION DATE: 12/31/2025. DEVICE MANUFACTURE DATE: 12/29/2020. MEDICAL DEVICE LOT #: 2101228. MEDICAL DEVICE EXPIRATION DATE: 12/31/2025. DEVICE MANUFACTURE DATE: 01/20/2021. 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

INVESTIGATION SUMMARY. A DEVICE HISTORY RECORD REVIEW WAS COMPLETED FOR PROVIDED MATERIAL NUMBER 309050 AND LOT NUMBERS 2005245, 2101101, AND 2101228. 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, PICTURE SAMPLES WERE RETURNED FOR EVALUATION BY OUR QUALITY ENGINEER TEAM. THROUGH EXAMINATION OF THE PICTURES, WHITE PARTICLES WERE OBSERVED WITHIN THE SYRINGES. WE HAVE CONCLUDED THAT THE PARTICLES ARE COMPOSED OF THE SLIP AGENT USED IN THE MANUFACTURE OF THIS SYRINGE PRODUCT. THIS SLIP AGENT IS USED TO FACILITATE THE MOVEMENT OF THE PLUNGER ALONG THE BARREL. DURING THE MANUFACTURING PROCESS, THE LUBRICANT FORMS A MICROSCOPIC LAYER IN THE INTERNAL/EXTERNAL WALLS OF THE BARREL. WHEN THE PLUNGER IS MOVED BACKWARDS DURING THE FILLING OF THE SYRINGE, MOST OF THIS MICROSCOPIC LAYER OF LUBRICANT IS DRAGGED BEHIND THE PLUNGER AND A SMALL QUANTITY STILL REMAINS INSIDE TO ALLOW A GOOD SLIDING PERFORMANCE DURING THE INJECTION OPERATION. THIS IS A NORMAL PROCESS AND THE SYRINGE WOULD NOT WORK WITHOUT THE PRESENCE OF THIS LUBRICANT.

Description of Event or Problem · 0

IT WAS REPORTED 5 BD DISCARDIT¿ II - 2-PIECE SYRINGES HAD FOREIGN MATTER. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: "LINT WAS FOUND INSIDE THE SYRINGE".

Description of Event or Problem · 0

IT WAS REPORTED 5 BD DISCARDIT¿ II - 2-PIECE SYRINGES HAD FOREIGN MATTER. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: "LINT WAS FOUND INSIDE THE SYRINGE".

Description of Event or Problem · 0

IT WAS REPORTED 5 BD DISCARDIT¿ II - 2-PIECE SYRINGES HAD FOREIGN MATTER. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: "LINT WAS FOUND INSIDE THE SYRINGE".

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1812339 BD DISCARDIT¿ II - 2-PIECE SYRINGE PISTON SYRINGE FMF BECTON DICKINSON, S.A. SEE H.10.

Patients

Seq Age Sex Outcome Treatment
1 Unknown