FDA Adverse Event Malfunction Summary report: N

BD INSYTE¿ AUTOGUARD¿ SHIELDED IV CATHETER

MDR report key: 16633071 · Received March 28, 2023

Report

Report Number
1710034-2023-00326
Event Type
Malfunction
Date Received
March 28, 2023
Date of Event
March 10, 2023
Report Date
April 7, 2023
Manufacturer
BECTON DICKINSON INFUSION THERAPY SYSTEMS INC.
Product Code
FOZ
UDI-DI
00382903814343
PMA / PMN Number
K201075
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

OUR QUALITY ENGINEER INSPECTED THE SAMPLE SUBMITTED FOR EVALUATION. BD RECEIVED ONE UNSEALED 20GA X 1.16IN. INSYTE AUTOGUARD FROM LOT NUMBER 2118372. THE DEVICE WAS RECEIVED RETRACTED. THE SAFETY MECHANISM WAS DISENGAGED, AND A FUNCTIONAL TEST REVEALED THAT THE NEEDLE RETRACTION WAS DELAYED AND THE TIME TO RETRACT EXCEEDED THE SPECIFICATION. MICROSCOPIC ANALYSIS WAS PERFORMED TO INVESTIGATE FOR ANY DRY ADHESIVE THAT MAY HAVE POURED BEHIND THE BUTTON OR BETWEEN THE NEEDLE HUB AND THE NEEDLE GRIP. ALTHOUGH NO ADHESIVE WAS OBSERVED, IT IS LIKELY DUE TO EXCESS GEL IN THE SAFETY MECHANISM. INCORRECT EQUIPMENT SETTINGS DURING MANUFACTURING MAY CAUSE EXCESSIVE GEL WHICH WOULD CAUSE SLOW RETRACTION. A QUALITY CONTROL PLAN TO CHECK THE WEIGHT AT SET-UP IS IN PLACE TO MITIGATE THE OCCURRENCE OF THIS DEFECT. AS THE DEVICE RETRACTED, THE REPORT OF RETRACTION FAILURE COULD NOT BE CONFIRMED, HOWEVER DELAYED RETRACTION WAS CONFIRMED. A DEVICE HISTORY RECORD REVIEW SHOWED NO NON-CONFORMANCES ASSOCIATED WITH THIS ISSUE DURING THE PRODUCTION OF THIS BATCH. HOWEVER, A TREND HAS BEEN IDENTIFIED FOR THE REPORTED FAILURE AND CORRECTIVE ACTIONS HAVE BEEN INITIATED TO INVESTIGATE THIS TYPE OF INCIDENT AND IDENTITY THE ROOT CAUSE. H3 OTHER TEXT : SEE H10.

Additional Manufacturer Narrative · 0

DATE OF EVENT: UNKNOWN. THE DATE RECEIVED BY MANUFACTURER HAS BEEN USED FOR THIS FIELD. 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 THE BD INSYTE¿ AUTOGUARD¿ SHIELDED IV CATHETER NEEDLE WOULD NOT RETRACT. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: THE PRODUCT BELOW HAS A SERIOUS SAFETY ISSUE. THE ANGIOCATH NEEDLE DOES NOT RETRACT AS IT WAS DESIGNED TO DO. THIS PUTS CAREGIVERS AND PATIENTS AT RISK FOR NEEDLE STICK. INSYTE AUTOGUARD NEEDLE WOULD NOT SAFETY. IT IS TO MY UNDERSTANDING THAT THE NEEDLE SAFETY CONCERN HAS IMPACTED MULTIPLE LOTS. LOT 211832 BEING ONE OF THEM. 13MAR2023: ALL OF THE LOT NUMBERS THAT I GAVE TO OUR CENTRAL SUPPLY XXXX, WERE PROVIDED PRODUCTS WITH SLOW RETRACTION. THE ISSUE IS CONSTANT AND I AM NOT SURE IF ANY OTHER LOT NUMBERS ARE AFFECTED. IT IS BOTH SLOW RETRACTION AND NO RETRACTION AT ALL.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE BD INSYTE¿ AUTOGUARD¿ SHIELDED IV CATHETER NEEDLE WOULD NOT RETRACT. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: THE PRODUCT BELOW HAS A SERIOUS SAFETY ISSUE. THE ANGIOCATH NEEDLE DOES NOT RETRACT AS IT WAS DESIGNED TO DO. THIS PUTS CAREGIVERS AND PATIENTS AT RISK FOR NEEDLE STICK. INSYTE AUTOGUARD NEEDLE WOULD NOT SAFETY. IT IS TO MY UNDERSTANDING THAT THE NEEDLE SAFETY CONCERN HAS IMPACTED MULTIPLE LOTS. LOT 211832 BEING ONE OF THEM. 13MAR2023: ALL OF THE LOT NUMBERS THAT I GAVE TO OUR CENTRAL SUPPLY XXXX, WERE PROVIDED PRODUCTS WITH SLOW RETRACTION. THE ISSUE IS CONSTANT AND I AM NOT SURE IF ANY OTHER LOT NUMBERS ARE AFFECTED. IT IS BOTH SLOW RETRACTION AND NO RETRACTION AT ALL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1767236 BD INSYTE¿ AUTOGUARD¿ SHIELDED IV CATHETER INTRAVASCULAR CATHETER FOZ BECTON DICKINSON INFUSION THERAPY SYSTEMS INC. 381434 2118372 00382903814343

Patients

Seq Age Sex Outcome Treatment
1 Unknown