FDA Adverse Event Malfunction Summary report: N

BD PLASTIPAK¿ SYRINGES

MDR report key: 14706060 · Received June 15, 2022

Report

Report Number
1911916-2022-00297
Event Type
Malfunction
Date Received
June 15, 2022
Date of Event
May 16, 2022
Report Date
May 26, 2022
Manufacturer
BD MEDICAL (BD WEST) MEDICAL SURGICAL
Product Code
FMF
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

DATE OF EVENT: UNKNOWN. THE DATE RECEIVED BY MANUFACTURER HAS BEEN USED FOR THIS FIELD. INVESTIGATION SUMMARY: IT WAS REPORTED THERE WAS A SCALE MARKING ISSUE. TO AID IN THE INVESTIGATION, ONE PHOTO WAS PROVIDED FOR EVALUATION BY OUR QUALITY TEAM. THE PHOTO SHOWS A PACKAGING BLISTER WITH A SYRINGE THAT HAS SKEWED SCALE PRINTING. NO OTHER DEFECTS OR IMPERFECTIONS WERE OBSERVED. THIS DEFECT COULD OCCUR IF THERE WAS A JAM DURING THE SYRINGE BARREL PRINTING PROCESS. A DEVICE HISTORY RECORD REVIEW WAS COMPLETED FOR PROVIDED MATERIAL NUMBER 303552, LOT NUMBER 1103472. THE REVIEW DID NOT REVEAL ANY DETECTED QUALITY ISSUES DURING THE PRODUCTION OF THIS LOT THAT COULD HAVE CONTRIBUTED TO THE REPORTED DEFECT. VERIFICATION OF THE SYRINGE BARREL PRINTING PROCESS WAS PERFORMED. THE SETTINGS AND ALIGNMENT WERE CORRECT, AND THE FLOW OF PRODUCT WAS GOOD. TO DATE, THERE HAS BEEN NO OTHER SIMILAR EVENTS REPORTED FOR THIS LOT.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE BD PLASTIPAK¿ SYRINGES EXPERIENCED SCALE PRINTING. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: IT WAS IDENTIFIED THE SCALE PRINTING IS NOT STRAIGHT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1132223 BD PLASTIPAK¿ SYRINGES PISTON SYRINGE FMF BD MEDICAL (BD WEST) MEDICAL SURGICAL 1103472

Patients

Seq Age Sex Outcome Treatment
1 Unknown