FDA Adverse Event Malfunction Summary report: N

BD¿ CATHETER TIP SYRINGE

MDR report key: 15518732 · Received September 30, 2022

Report

Report Number
1911916-2022-00544
Event Type
Malfunction
Date Received
September 30, 2022
Date of Event
September 7, 2022
Report Date
February 22, 2023
Manufacturer
BD MEDICAL (BD WEST) MEDICAL SURGICAL
Product Code
KYZ
UDI-DI
00382903096206
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MY
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. INITIAL REPORTER E-MAIL: 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

H6: INVESTIGATION SUMMARY IT WAS REPORTED THE SYRINGE WAS TOO TIGHT. TO AID IN THE INVESTIGATION, ONE PHOTO WAS PROVIDED FOR EVALUATION BY OUR QUALITY TEAM. THE PHOTO SHOWS A SYRINGE IN ITS PACKAGING BLISTER. NO OTHER INFORMATION COULD BE OBTAINED FROM THE PHOTO. A DEVICE HISTORY RECORD REVIEW WAS COMPLETED FOR PROVIDED MATERIAL NUMBER 309620, LOT NUMBER 0062250. THE REVIEW DID NOT REVEAL ANY DETECTED QUALITY ISSUES DURING THE PRODUCTION OF THIS LOT THAT COULD HAVE CONTRIBUTED TO THE REPORTED DEFECT. BASED ON THE INVESTIGATION AND WITH THE PHOTO SAMPLE ANALYSIS THE SYMPTOM REPORTED BY THE CUSTOMER COULD NOT BE CONFIRMED. WITHOUT THE PHYSICAL SAMPLE ANALYSIS A PROBABLE ROOT CAUSE COULD NOT BE OFFERED.

Additional Manufacturer Narrative · 0

THE FOLLOWING FIELDS WERE UPDATED DUE TO ADDITIONAL INFORMATION: D10: DEVICE AVAILABLE FOR EVAL? YES. D10: RETURNED TO MANUFACTURER ON: 21FEB2023. H6. INVESTIGATION SUMMARY: IT WAS REPORTED THE SYRINGE WAS TOO TIGHT. TO AID IN THE INVESTIGATION, ONE SAMPLE IN AN OPENED PACKAGING BLISTER AND ONE PHOTO WAS PROVIDED FOR EVALUATION BY OUR QUALITY TEAM. A VISUAL INSPECTION WAS PERFORMED, AND NO DEFECTS OR IMPERFECTIONS WERE OBSERVED. THE SAMPLE WAS THEN TESTED FOR SUSTAINING FORCE, WHICH IS THE FORCE APPLIED TO THE PLUNGER ROD WHILE MOVING DOWNWARDS WHEN EXPELLING THE SALINE SOLUTION, PER IT16 AND THE RESULT WAS WITHIN SPECIFICATION. THE PHOTO SHOWS A SYRINGE IN ITS PACKAGING BLISTER. NO OTHER INFORMATION COULD BE OBTAINED FROM THE PHOTO. A DEVICE HISTORY RECORD REVIEW WAS COMPLETED FOR PROVIDED MATERIAL NUMBER 309620, LOT NUMBER 0062250. THE REVIEW DID NOT REVEAL ANY DETECTED QUALITY ISSUES DURING THE PRODUCTION OF THIS LOT THAT COULD HAVE CONTRIBUTED TO THE REPORTED DEFECT. BASED ON THE INVESTIGATION AND WITH THE RETURNED SAMPLE ANALYSIS THE SYMPTOM REPORTED BY THE CUSTOMER COULD NOT BE CONFIRMED AND A PROBABLE ROOT CAUSE COULD NOT BE OFFERED.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE BD¿ CATHETER TIP SYRINGE PLUNGER WAS TIGHT AND DIFFICULT TO MOVE DURING THE NASAL GASTRIC ASPIRATION. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: SYRINGE IS TOO TIGHT. CUSTOMER COMPLAINT DIFFICULTY TO DO NASAL GASTRIC TUBE ASPIRATION.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE BD¿ CATHETER TIP SYRINGE PLUNGER WAS TIGHT AND DIFFICULT TO MOVE DURING THE NASAL GASTRIC ASPIRATION. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: "SYRINGE IS TOO TIGHT. CUSTOMER COMPLAINT DIFFICULTY TO DO NASAL GASTRIC TUBE ASPIRATION."

Description of Event or Problem · 0

IT WAS REPORTED THAT THE BD¿ CATHETER TIP SYRINGE PLUNGER WAS TIGHT AND DIFFICULT TO MOVE DURING THE NASAL GASTRIC ASPIRATION. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: "SYRINGE IS TOO TIGHT. CUSTOMER COMPLAINT DIFFICULTY TO DO NASAL GASTRIC TUBE ASPIRATION."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2170358 BD¿ CATHETER TIP SYRINGE IRRIGATING SYRINGE KYZ BD MEDICAL (BD WEST) MEDICAL SURGICAL 0062250 00382903096206

Patients

Seq Age Sex Outcome Treatment
1 Unknown