FDA Adverse Event Malfunction Summary report: N

BD PLASTIPAK¿ SYRINGES WITH LUER-LOK¿ TIP

MDR report key: 13676130 · Received March 4, 2022

Report

Report Number
3003152976-2022-00088
Event Type
Malfunction
Date Received
March 4, 2022
Date of Event
February 18, 2022
Report Date
August 8, 2022
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
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

H.6. INVESTIGATION: SEVERAL PHOTOS WERE PROVIDED TO OUR QUALITY TEAM FOR INVESTIGATION. THROUGH VISUAL INSPECTION, A PARTICLE CAN BE OBSERVED BETWEEN THE STOPPER AND SYRINGE BARREL. A DEVICE HISTORY REVIEW WAS PERFORMED FOR THE REPORTED LOT 2111034, NO DEVIATIONS OR NON-CONFORMANCES WERE IDENTIFIED DURING THE MANUFACTURING PROCESS THAT COULD HAVE CONTRIBUTED TO THIS ISSUE. RETAINED SAMPLES OF THE SAME LOT WERE USED FOR ADDITIONAL EVALUATION. ALL PRODUCT WAS INSPECTED, NO FOREIGN MATTER OR OTHER PARTICLES WERE OBSERVED WITHIN ANY OF THE SYRINGES. MANUFACTURING FOR THIS PRODUCT IS PERFORMED IN A CLEAN ROOM WHICH IS KEPT UNDER A POSITIVE PRESSURE TO REDUCE THE CHANCE OF FOREIGN MATTER. THE ASSEMBLY STATION HAS A DE-IONIZER AND VACUUM SYSTEM USED TO REMOVE ANY PARTICLES INSIDE THE BARREL. 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. WITHOUT THE PHYSICAL SAMPLE TO EVALUATE, THE ORIGIN OF THE PARTICLE CANNOT BE IDENTIFIED. WHILE WE CANNOT IDENTIFY A DIRECT ISSUE, THE PARTICLE LIKELY GENERATED DURING THE ASSEMBLY PROCESS DUE TO FRICTION DURING MOVEMENT OF THE DEVICE WITHIN THE MANUFACTURING EQUIPMENT.

Additional Manufacturer Narrative · 0

THE FOLLOWING FIELDS WERE UPDATED DUE TO ADDITIONAL INFORMATION: D.10. DEVICE AVAILABLE FOR EVAL: YES . D.10. RETURNED TO MANUFACTURER ON: 09-AUG-2022. H.6. INVESTIGATION SUMMARY: ONE SAMPLE ALONG WITH SEVERAL PHOTOS WERE PROVIDED TO OUR QUALITY TEAM FOR INVESTIGATION. THROUGH VISUAL INSPECTION, A PARTICLE CAN BE OBSERVED BETWEEN THE STOPPER AND SYRINGE BARREL. FURTHER EVALUATION IDENTIFIED THE PARTICLE TO BE A MIXTURE OF DIRT AND POLYPROPYLENE PARTICLES. A DEVICE HISTORY REVIEW WAS PERFORMED FOR THE REPORTED LOT 2111034, NO DEVIATIONS OR NON-CONFORMANCES WERE IDENTIFIED DURING THE MANUFACTURING PROCESS THAT COULD HAVE CONTRIBUTED TO THIS ISSUE. RETAINED SAMPLES OF THE SAME LOT WERE USED FOR ADDITIONAL EVALUATION. ALL PRODUCT WAS INSPECTED, NO FOREIGN MATTER OR OTHER PARTICLES WERE OBSERVED WITHIN ANY OF THE SYRINGES. MANUFACTURING FOR THIS PRODUCT IS PERFORMED IN A CLEAN ROOM WHICH IS KEPT UNDER A POSITIVE PRESSURE TO REDUCE THE CHANCE OF FOREIGN MATTER. THE ASSEMBLY STATION HAS A DE-IONIZER AND VACUUM SYSTEM USED TO REMOVE ANY PARTICLES INSIDE THE BARREL. 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. WHILE WE CANNOT IDENTIFY A DIRECT ISSUE, THE PARTICLE LIKELY GENERATED DURING THE ASSEMBLY PROCESS DUE TO FRICTION DURING MOVEMENT OF THE DEVICE WITHIN THE MANUFACTURING EQUIPMENT. A PROJECT WAS INITIATED TO REDUCE ANY FOREIGN PARTICLES INSIDE OUR PRODUCTS. COMPLAINTS RECEIVED FOR THIS DEVICE AND REPORTED CONDITION WILL BE MONITORED BY OUR QUALITY TEAM FOR SIGNS OF EMERGING TRENDS.

Description of Event or Problem · 0

IT WAS REPORTED BD PLASTIPAK¿ SYRINGES WITH LUER-LOK¿ TIP HAD FOREIGN MATTER ON THE PLUNGER. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: "PRESENCE OF PARTICLES IN THE PLUNGER SEAL"

Description of Event or Problem · 0

IT WAS REPORTED BD PLASTIPAK¿ SYRINGES WITH LUER-LOK¿ TIP HAD FOREIGN MATTER ON THE PLUNGER. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: "PRESENCE OF PARTICLES IN THE PLUNGER SEAL".

Description of Event or Problem · 0

IT WAS REPORTED BD PLASTIPAK¿ SYRINGES WITH LUER-LOK¿ TIP HAD FOREIGN MATTER ON THE PLUNGER. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: "PRESENCE OF PARTICLES IN THE PLUNGER SEAL".

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1629382 BD PLASTIPAK¿ SYRINGES WITH LUER-LOK¿ TIP PISTON SYRINGE FMF BECTON DICKINSON, S.A. 2111034

Patients

Seq Age Sex Outcome Treatment
1 Unknown