FDA Adverse Event Malfunction Summary report: N

BD¿ PET SYRINGES VETERINARY INSULIN SYRINGE

MDR report key: 16640347 · Received March 29, 2023

Report

Report Number
1920898-2023-00171
Event Type
Malfunction
Date Received
March 29, 2023
Date of Event
March 13, 2023
Report Date
July 20, 2023
Manufacturer
BD MEDICAL - DIABETES CARE
Product Code
FMF
UDI-DI
00382903230006
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CO, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

THE FOLLOWING FIELDS WERE UPDATED DUE TO ADDITIONAL INFORMATION: D10: DEVICE AVAILABLE FOR EVAL YES. D10: RETURNED TO MANUFACTURER ON: H6: INVESTIGATION SUMMARY: THE CUSTOMER RETURNED (9) 0.3ML 29GA SYRINGES, REPORTING SCALE MARKINGS AS DEFECTIVE. THE SYRINGES WERE VISUALLY EXAMINED AND OBSERVED SCALE MARKINGS DEFECTIVE ON THE BARREL. UPON VISUAL EXAMINATION, EMBECTA WAS ABLE TO CONFIRM THE CUSTOMER-INDICATED FAILURE. A REVIEW OF THE DEVICE HISTORY RECORD WAS COMPLETED FOR BATCH #2003427 ALL INSPECTIONS WERE PERFORMED PER THE APPLICABLE OPERATIONS QC SPECIFICATIONS. NO ROOT CAUSE CAN BE DETERMINED.

Additional Manufacturer Narrative · 0

H6: INVESTIGATION SUMMARY: NO SAMPLES (INCLUDING PHOTOS) WERE RETURNED THEREFORE THE COMPLAINT COULD NOT BE CONFIRMED AND THE ROOT CAUSE IS UNDETERMINED. THIS IS THE 1ST COMPLAINT FOR THE REPORTED LOT NUMBER. A REVIEW OF THE MANUFACTURING RECORDS WAS PERFORMED, AND NO NON-CONFORMANCES WERE RAISED IN ASSOCIATION WITH THIS TYPE OF EVENT FOR THIS LOT. COMPLAINTS RECEIVED FOR THIS DEVICE AND REPORTED CONDITION WILL CONTINUE TO BE TRACKED AND TRENDED. IF SAMPLES ARE RECEIVED IN THE FUTURE THE COMPLAINT WILL BE REOPENED FOR FURTHER INVESTIGATION. BASED ON THE ABOVE, NO ADDITIONAL INVESTIGATION AND NO CORRECTIVE/PREVENTATIVE ACTION (CAPA) OR SITUATIONAL ANALYSIS (SA) IS REQUIRED AT THIS TIME.

Additional Manufacturer Narrative · 0

DATE OF EVENT: UNKNOWN. THE DATE RECEIVED BY MANUFACTURER HAS BEEN USED FOR THIS FIELD. THERE WERE MULTIPLE LOT NUMBERS REPORTED TO BE INVOLVED. THE INFORMATION FOR EACH LOT NUMBER IS AS FOLLOWS: MEDICAL DEVICE LOT #: 2332719. MEDICAL DEVICE EXPIRATION DATE: 31-DEC-2027. DEVICE MANUFACTURE DATE: 28-NOV-2022. MEDICAL DEVICE LOT #: 2003427. MEDICAL DEVICE EXPIRATION DATE: 31-JAN-2027. DEVICE MANUFACTURE DATE: 03-JAN-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 AN UNSPECIFIED NUMBER OF BD¿ PET SYRINGES VETERINARY INSULIN SYRINGES FROM LOTS 2332719 AND 2003427 HAD SLANTED SCALE MARKINGS. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: "PET OWNER REPORTED "SCALE MARKINGS" ON SOME OF THE BARRELS ARE NOT STRAIGHT. STATED, THE MARKINGS ARE "SLANTED"? STATED, TWO BOXES AFFECTED"

Description of Event or Problem · 0

IT WAS REPORTED THAT AN UNSPECIFIED NUMBER OF BD¿ PET SYRINGES VETERINARY INSULIN SYRINGES FROM LOTS 2332719 AND 2003427 HAD SLANTED SCALE MARKINGS. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: "PET OWNER REPORTED "SCALE MARKINGS" ON SOME OF THE BARRELS ARE NOT STRAIGHT. STATED, THE MARKINGS ARE "SLANTED"? STATED, TWO BOXES AFFECTED".

Description of Event or Problem · 0

IT WAS REPORTED THAT AN UNSPECIFIED NUMBER OF BD¿ PET SYRINGES VETERINARY INSULIN SYRINGES FROM LOTS 2332719 AND 2003427 HAD SLANTED SCALE MARKINGS. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: "PET OWNER REPORTED "SCALE MARKINGS" ON SOME OF THE BARRELS ARE NOT STRAIGHT. STATED, THE MARKINGS ARE "SLANTED"? STATED, TWO BOXES AFFECTED"

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
177322 BD¿ PET SYRINGES VETERINARY INSULIN SYRINGE PISTON SYRINGE FMF BD MEDICAL - DIABETES CARE 323000 SEE H10 00382903230006

Patients

Seq Age Sex Outcome Treatment
1 Unknown