FDA Adverse Event Malfunction Summary report: N

BD PLASTIPAK¿ LUER-LOK¿ SYRINGE

MDR report key: 15670699 · Received October 25, 2022

Report

Report Number
9614033-2022-00091
Event Type
Malfunction
Date Received
October 25, 2022
Date of Event
September 30, 2022
Report Date
February 14, 2023
Manufacturer
BECTON DICKINSON DE MEXICO
Product Code
FMF
UDI-DI
07501073025424
PMA / PMN Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MX
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

H6: INVESTIGATION SUMMARY: ONE HUNDRED FIFTY SAMPLES OF 3 ML SYRINGES ARE RECEIVED IN THEIR PRIMARY PACKAGING IN A CARDBOARD BOX, LOT 2132661 WITH (B)(4) PIECES AND LOT 1337130 WITH (B)(4) PIECES, ADDITIONALLY THREE PHOTOS, AND ONE VIDEO ARE RECEIVED BY OUR QUALITY TEAM FOR INVESTIGATION. UPON VISUAL EVALUATION OF THE IMAGES, 3 ML SYRINGES IN THEIR PRIMARY PACKAGING WITH LOT NUMBERS 1337130 AND 2132661, CODE (B)(4) ARE OBSERVED. A VIDEO IS RECEIVED IN WHICH THE CLIENT IS SEEN HOLDING THE SYRINGE BY THE BASE OF THE RIM AND SLOWLY EXPELLING THE PLUNGER SIMULATING THE INTAKE OF LIQUID, WHERE IT CAN BE SEEN THAT THE PLUNGER RETURNS ON ITS OWN WHEN THE CLIENT RELEASES THIS PART OF THE DEVICE, THE CLIENT PERFORMS THE NEEDLE CHANGE TO SIMULATE A SECOND EXERCISE IN WHICH IT IS VISUALIZED THAT THE PLUNGER STAYS, THAT IS, IT DOES NOT RETURN ON ITS OWN TO THE BEGINNING OF THE SYRINGE. UPON VISUAL EVALUATION OF THE NEEDLES, NO DEFECTS OR ISSUES ARE OBSERVED. WHEN INTRODUCING THE STYLET INSIDE THE CANNULA, THERE IS RESISTANCE DUE TO PASTY CONSISTENCY INSIDE, NEEDLES APPEARED CLOGGED. FOURIER TRANSFORM INFRARED SPECTROSCOPY WAS PERFORMED TO FURTHER ANALYZE, FOREIGN SUBSTANCE IS SODIUM SALT, WHICH GENERATES THE FORMATION OF A PASTE THAT PREVENTS THE PASSAGE OF LIQUID THROUGH THE CANNULA. A DEVICE HISTORY RECORD REVIEW FOR THE CANNULA BATCHES SHOWED NO REJECTED INSPECTIONS OR QUALITY ISSUES DURING THE PRODUCTION OF THE PROVIDED LOT NUMBER THAT COULD HAVE CONTRIBUTED TO THE REPORTED DEFECT. BASED ON THE QUALITY TEAM'S INVESTIGATION, POSSIBLE ROOT CAUSE FOR CLOGGED NEEDLE IS ASSOCIATED WITH EFFECTIVENESS IN THE SENSOR AT THE ENTRANCE OF THE AUTO SHIELDER IN THE NIP LINE ENTRANCE.

Additional Manufacturer Narrative · 0

THERE WERE MULTIPLE LOT NUMBERS REPORTED TO BE INVOLVED. THE INFORMATION FOR EACH LOT NUMBER IS AS FOLLOWS: MEDICAL DEVICE LOT #: 1337130. MEDICAL DEVICE EXPIRATION DATE: 30-NOV-2026. DEVICE MANUFACTURE DATE: 15-MAR-2022. MEDICAL DEVICE LOT #: 2132661. MEDICAL DEVICE EXPIRATION DATE: 30-APR-2027. DEVICE MANUFACTURE DATE: 21-JUN-2022. A DEVICE EVALUATION IS ANTICIPATED BUT HAS NOT YET BEGUN. UPON COMPLETION OF THE INVESTIGATION, A SUPPLEMENTAL REPORT WILL BE FILED.

Description of Event or Problem · 0

IT WAS REPORTED THAT 7 BD PLASTIPAK¿ LUER-LOK¿ SYRINGES FROM LOT 1337130, AND 2 SYRINGES FROM LOT 2132661 WERE BLOCKED DURING USE. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER, TRANSLATED FROM SPANISH: "A CLIENT LEFT US 150 SYRINGES OF THE CODE 302542, SINCE HE TELLS US THAT THE MEDICINE DOES NOT PASS THROUGH THE NEEDLE, THEY ARE COVERED, HE HAS ALWAYS BOUGHT THE BD BRAND AND IT HAD NEVER HAPPENED TO HIM."

Description of Event or Problem · 0

IT WAS REPORTED THAT 7 BD PLASTIPAK¿ LUER-LOK¿ SYRINGES FROM LOT 1337130, AND 2 SYRINGES FROM LOT 2132661 WERE BLOCKED DURING USE. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER, TRANSLATED FROM SPANISH: "A CLIENT LEFT US 150 SYRINGES OF THE CODE 302542, SINCE HE TELLS US THAT THE MEDICINE DOES NOT PASS THROUGH THE NEEDLE, THEY ARE COVERED, HE HAS ALWAYS BOUGHT THE BD BRAND AND IT HAD NEVER HAPPENED TO HIM."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2510147 BD PLASTIPAK¿ LUER-LOK¿ SYRINGE PISTON SYRINGE FMF BECTON DICKINSON DE MEXICO SEE H10 07501073025424

Patients

Seq Age Sex Outcome Treatment
1 Unknown