FDA Adverse Event Malfunction Summary report: N

BD NEEDLE CLIPPER SAFE-CLIP EUROPE

MDR report key: 13862263 · Received March 23, 2022

Report

Report Number
2243072-2022-00376
Event Type
Malfunction
Date Received
March 23, 2022
Date of Event
March 5, 2022
Report Date
April 21, 2022
Manufacturer
BECTON DICKINSON
Product Code
FMI
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

THE MANUFACTURING LOCATION FOR THIS PRODUCT IS (B)(4). THIS SITE IS AN OEM MANUFACTURING SITE. THEREFORE, BD CORPORATE HEADQUARTERS IN (B)(4) HAS BEEN LISTED AND THE (B)(4) FDA REGISTRATION NUMBER HAS BEEN USED FOR THE MANUFACTURE REPORT NUMBER. MEDICAL DEVICE LOT #: 8250018 WAS REPORTED, HOWEVER, THIS IS NOT A LOT # MANUFACTURED FOR THE REPORTED CATALOG #. MEDICAL DEVICE EXPIRATION DATE: UNKNOWN. DEVICE MANUFACTURE DATE: UNKNOWN. 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 CORRECTED INFORMATION: D.4. MEDICAL DEVICE LOT #: 8250018 . D.4. MEDICAL DEVICE EXPIRATION DATE: NA. H.4. DEVICE MANUFACTURE DATE: 07-SEP-2018. THE FOLLOWING FIELDS WERE UPDATED DUE TO ADDITIONAL INFORMATION: D.9. DEVICE AVAILABLE FOR EVAL?: YES. D.9. RETURNED TO MANUFACTURER ON: 29-MAR-2022. H.6. INVESTIGATION: CUSTOMER RETURNED A SAFECLIP FROM LOT 8250018. VISUAL INSPECTION FOUND LIMITED AMOUNTS OF OBSERVABLE WEAR TO THE SAFECLIP. AN ATTEMPT WAS MADE TO INSERT A SPARE PEN NEEDLE INTO THE MOUTH OF THE SAFECLIP. DESPITE THE CANNULA LINING UP PROPERLY WITH THE MOUTH OF THE SAFECLIP, THIS PROCESS WAS DIFFICULT AND TOOK SIGNIFICANT FINESSE TO ACCOMPLISH. UNDER OPTIMAL CIRCUMSTANCES, THIS ACTION WOULD NOT REQUIRE THIS DEGREE OF EFFORT. WEAR OR MATERIAL BUILD UP AT THE MOUTH OF THE TRIMMER ON THE TRIMMING COMPONENTS MAY HAVE RESULTED IN THE INCREASED DIFFICULT IN INSERTING A CANNULA. A LOT HISTORY REVIEW WAS CARRIED OUT AND NO RELATED NON CONFORMANCES WERE RAISED IN ASSOCIATION WITH THIS PACKAGED LOT CONCLUDING ALL INSPECTIONS WERE PERFORMED AS PER THE APPLICABLE OPERATIONS AND MET QC SPECIFICATIONS. BASED ON THE SAMPLE RECEIVED, EMBECTA WAS ABLE TO CONFIRM THE CUSTOMER¿S INDICATED FAILURE OF DIFFICULTY USING THE SAFECLIP AS INTENDED. THE ROOT CAUSE OF SAFECLIP BEING DIFFICULT TO OPERATE MAY BE WEAR AND MATERIAL BUILD-UP OVER TIME AS THE RESULT OF USE. H3 OTHER TEXT : SEE H.10.

Description of Event or Problem · 0

IT WAS REPORTED WHILE USING BD NEEDLE CLIPPER SAFE-CLIP (B)(4) THE DEVICE WOULDN'T CLIP THE NEEDLES PROPERLY. THERE WAS NO REPORT OF PATIENT IMPACT. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: PATIENT USES A BD SAFE CLIP TO CUT OFF HER NEEDLES. NOW THE DEVICE IS STUCK EVEN THOUGH IT HASN'T BEEN USED MUCH.

Description of Event or Problem · 0

IT WAS REPORTED WHILE USING BD NEEDLE CLIPPER SAFE-CLIP EUROPE THE DEVICE WOULDN'T CLIP THE NEEDLES PROPERLY. THERE WAS NO REPORT OF PATIENT IMPACT. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: PATIENT USES A BD SAFE CLIP TO CUT OFF HER NEEDLES. NOW THE DEVICE IS STUCK EVEN THOUGH IT HASN'T BEEN USED MUCH.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
728696 BD NEEDLE CLIPPER SAFE-CLIP EUROPE HYPODERMIC SINGLE LUMEN NEEDLE FMI BECTON DICKINSON 8250018

Patients

Seq Age Sex Outcome Treatment
1 Unknown