FDA Adverse Event Malfunction Summary report: N

BD MICROLANCE¿ 3 NEEDLE

MDR report key: 14775234 · Received June 22, 2022

Report

Report Number
3002682307-2022-00172
Event Type
Malfunction
Date Received
June 22, 2022
Date of Event
May 26, 2022
Report Date
August 3, 2022
Manufacturer
BECTON DICKINSON, S.A.
Product Code
FMI
PMA / PMN Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IT
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

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

H6: INVESTIGATION SUMMARY: A DEVICE HISTORY RECORD REVIEW WAS COMPLETED FOR PROVIDED MATERIAL NUMBER 304000 AND LOT NUMBER 220319. 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, ONE PICTURE SAMPLE WAS RETURNED FOR EVALUATION BY OUR QUALITY ENGINEER TEAM. THROUGH EXAMINATION OF THE PICTURE, A MISALIGNMENT BETWEEN THE PACKAGE CUTTINGS AND THE LABEL CONTENT WAS CONFIRMED. BASED ON THE SAMPLE FINDINGS, IT HAS BEEN DETERMINED THAT THIS ISSUE RESULTED WITHIN THE PRIMARY PACKAGING MACHINE. THE MACHINE HAS A CUTTING SYSTEM WHICH CREATES THE VARIOUS PERFORATED STRIPS. A MISALIGNMENT OF THE PAPER REEL RESULTED IN INCORRECTLY PLACED CUTS. THE CUTTING SYSTEM IS PERIODICALLY CHECKED, BUT IN THIS CASE, WE UNDERSTAND THAT SOME DEFECTIVE PACKAGES WERE PRODUCED WITHOUT REJECTION BEFORE THE CHECKING OF THE SYSTEM TOOK PLACE. BASED ON THE PREVENTIVE MEASURES IN PLACE, WE BELIEVE THIS WAS AN ISOLATED INCIDENT WITH AN UNLIKELY CHANCE OF RECURRENCE. AS THE VARIABLE DATA WAS STILL LEGIBLE, THIS WOULD NOT BE CONSIDERED A SERIOUS ISSUE. FURTHER ACTION HAS NOT BEEN DETERMINED NECESSARY AT THIS TIME. OUR QUALITY TEAM WILL CONTINUE TO CLOSELY MONITOR THE MANUFACTURING PROCESS FOR SIGNS OF THIS POTENTIAL DEFECT AND ANY EMERGING TRENDS.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE BD MICROLANCE¿ 3 NEEDLE LABEL WAS INCORRECTLY POSITIONED AND PARTIALLY CUT OFF, RENDERING SOME OF THE INFORMATION UNREADABLE. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: "PACKAGING AND LABELS ARE NOT CORRECTLY POSITIONED: SOME LABELS ARE NOT READABLE NOT BIG IMPACT"

Description of Event or Problem · 0

IT WAS REPORTED THAT THE BD MICROLANCE¿ 3 NEEDLE LABEL WAS INCORRECTLY POSITIONED AND PARTIALLY CUT OFF, RENDERING SOME OF THE INFORMATION UNREADABLE. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: "PACKAGING AND LABELS ARE NOT CORRECTLY POSITIONED: SOME LABELS ARE NOT READABLE NOT BIG IMPACT".

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
623276 BD MICROLANCE¿ 3 NEEDLE HYPODERMIC SINGLE LUMEN NEEDLE FMI BECTON DICKINSON, S.A. 220319

Patients

Seq Age Sex Outcome Treatment
1 Unknown