FDA Adverse Event Malfunction Summary report: N

BD PLASTIPAK¿ SYRINGES

MDR report key: 15696094 · Received October 29, 2022

Report

Report Number
3003152976-2022-00487
Event Type
Malfunction
Date Received
October 29, 2022
Date of Event
October 3, 2022
Report Date
October 24, 2022
Manufacturer
BECTON DICKINSON, S.A.
Product Code
FMF
PMA / PMN Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

INVESTIGATION SUMMARY: ONE PHOTO SAMPLE WAS PROVIDED TO OUR QUALITY TEAM FOR INVESTIGATION. THROUGH VISUAL INSPECTION, IT WAS OBSERVED THAT THE SCALE WAS NOT PRINTED ON THE SYRINGE, VERIFYING THE REPORTED INCIDENT. A DEVICE HISTORY REVIEW WAS PERFORMED FOR REPORTED LOT 2112044, NO DEVIATIONS OR NON-CONFORMANCES WERE IDENTIFIED DURING THE MANUFACTURING PROCESS THAT COULD HAVE CONTRIBUTED TO THE REPORTED FAILURE. FINAL PRODUCTS IN THIS MANUFACTURING LINE, FOR THIS REFERENCE ARE SAMPLED AND THEY ARE SUBJECTED TO VISUAL AND FUNCTIONAL INSPECTIONS DURING THE DIFFERENT MANUFACTURING SUB-PROCESSES ACCORDING TO PROCEDURES. BASED ON ALL THE PREVENTIVE MEASURES AND OUR STRINGENT IN PROCESS INSPECTION PLAN, WE BELIEVE THAT THIS SHOULD BE AN ISOLATED ISSUE WITH UNLIKELY REOCCURRENCE. MANUFACTURING PERSONNEL HAVE BEEN NOTIFIED OF THIS INCIDENT TO INCREASE AWARENESS. COMPLAINTS RECEIVED FOR THIS DEVICE AND REPORTED CONDITION WILL CONTINUE TO BE TRACKED AND TRENDED FOR FUTURE OCCURRENCE.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE BD PLASTIPAK¿ SYRINGES EXPERIENCED MISSING SCALE MARKINGS. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: SYRINGE WITH NO MARKINGS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2880675 BD PLASTIPAK¿ SYRINGES PISTON SYRINGE FMF BECTON DICKINSON, S.A. 2112044

Patients

Seq Age Sex Outcome Treatment
1 Unknown