BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BD INTIMA-II¿ CLOSED IV CATHETER SYSTEM

    MDR report key: 14606516 · Received June 6, 2022

    Report

    Report Number
    3014704491-2022-00209
    Event Type
    Malfunction
    Date Received
    June 6, 2022
    Date of Event
    April 7, 2022
    Report Date
    May 16, 2022
    Manufacturer
    BD (SUZHOU)
    Product Code
    FOZ
    PMA / PMN Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CH
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL
    Health Professional
    Yes

    Narratives

    Additional Manufacturer Narrative · 0

    IN RESPONSE TO THE EVENT REPORTED A DEVICE HISTORY REVIEW WAS CONDUCTED FOR LOT NUMBER 1111433. OUR RECORDS SHOW THAT THIS IS THE ONLY INSTANCE OF THIS ISSUE OCCURRING IN THIS PRODUCTION BATCH. ACCORDING TO THE SAMPLING PLAN APPLIED FOR PRODUCT PERFORMANCE, THIS LOT WAS ACCEPTED AND RELEASED WITHOUT DEFECTS BEING NOTED DURING THE FINAL ASSEMBLY OR VISUAL INSPECTIONS. A SAMPLE COULD NOT BE OBTAINED FOR EVALUATION AND TESTING; IN LIEU OF THE AFFECTED DEVICE, FUNCTIONAL TESTING WAS PERFORMED ON RETENTION SAMPLES FOR THIS LOT, THE RESULTS OF THESE SHOW THAT THE TESTED UNITS PERFORMED WITHIN PRODUCT SPECIFICATIONS. UNFORTUNATELY WITHOUT THE ABILITY TO INVESTIGATE THE AFFECTED UNIT OUR QUALITY ENGINEERS WERE UNABLE TO DETERMINE THE ROOT CAUSE FOR THIS COMPLAINT. BD WILL CONTINUE TO MONITOR THIS ISSUE.

    Description of Event or Problem · 0

    IT WAS REPORTED WHILE USING BD INTIMA-II¿ CLOSED IV CATHETER SYSTEM THE TUBING CLAMP DIDN'T CLOSE. THERE WAS NO REPORT OF PATIENT IMPACT. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: APRIL 7, AN INTRAVENOUS CHANNEL WAS ESTABLISHED FOR THE PATIENT ACCORDING TO THE DOCTOR'S ADVICE, AND THE INTRAVENOUS DRIP WAS 0.9% SODIUM CHLORIDE. WHEN THE INFUSION WAS TEMPORARILY STOPPED, THE LIQUID INFUSION STILL WENT NORMAL WHEN THE CLAMP OF THE INDWELLING NEEDLE WAS CLOSED,SO THE INFUSION SWITCH OF THE INFUSION SET WAS IMMEDIATELY TURNED OFF, THE INFUSION WAS STOPPED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1319412 BD INTIMA-II¿ CLOSED IV CATHETER SYSTEM INTRAVASCUALR CATHETER FOZ BD (SUZHOU) 1111433

    Patients

    Seq Age Sex Outcome Treatment
    1 Unknown