FDA Adverse Event Malfunction Summary report: N

BD POSIFLUSH¿ SYRINGE

MDR report key: 15544770 · Received October 5, 2022

Report

Report Number
1911916-2022-00556
Event Type
Malfunction
Date Received
October 5, 2022
Date of Event
September 6, 2022
Report Date
October 3, 2022
Manufacturer
BD MEDICAL (BD WEST) MEDICAL SURGICAL
Product Code
NGT
UDI-DI
00382903065943
PMA / PMN Number
K161552
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

INITIAL REPORTER PHONE#: UNKNOWN. INITIAL REPORTER E-MAIL: UNKNOWN. INVESTIGATION SUMMARY: A DEVICE HISTORY RECORD REVIEW WAS COMPLETED BY OUR QUALITY ENGINEER TEAM FOR PROVIDED MATERIAL NUMBER 306594 AND LOT NUMBER 1201749. THE REVIEW DID NOT REVEAL ANY DETECTED ABNORMALITIES DURING THE PRODUCTION PROCESS THAT COULD HAVE CONTRIBUTED TO THIS DEFECT AND ALL QUALITY TESTS WERE FOUND TO BE WITHIN SPECIFICATION. AS A SAMPLE WAS UNAVAILABLE FOR RETURN, A THOROUGH SAMPLE INVESTIGATION COULD NOT BE COMPLETED. BASED ON THE INVESTIGATION RESULTS, AN EXACT CAUSE FOR THIS INCIDENT COULD NOT BE IDENTIFIED. FURTHER ACTION HAS NOT BEEN DETERMINED NECESSARY AT THIS TIME. COMPLAINTS RECEIVED FOR THIS DEVICE AND REPORTED CONDITION WILL CONTINUE TO BE TRACKED AND TRENDED. OUR QUALITY TEAM REGULARLY REVIEWS THE COLLECTED DATA FOR IDENTIFICATION OF EMERGING TRENDS.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE BD POSIFLUSH¿ SYRINGE PLUNGER WAS DIFFICULT TO MOVE DURING THE BOLUS INJECTION. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER, TRANSLATED FROM CHINESE: ''ON (B)(6) 2022, AFTER THE PATIENT'S INTRAVENOUS INFUSION IS COMPLETED, THE CATHETER NEEDS TO BE FLUSHED WITH A FLUSH. THE BOLUS INJECTION IS LABORIOUS, AND THE PATIENT IS CRYING AND UNCOOPERATIVE. FINALLY, THE BOLUS INJECTION IS SLOWLY TESTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2504852 BD POSIFLUSH¿ SYRINGE SALINE VASCULAR ACCESS FLUSH NGT BD MEDICAL (BD WEST) MEDICAL SURGICAL 1201749 00382903065943

Patients

Seq Age Sex Outcome Treatment
1 Unknown