FDA Adverse Event Malfunction Summary report: N

BD SAFETYGLIDE¿ NEEDLE

MDR report key: 16980319 · Received May 22, 2023

Report

Report Number
1213809-2023-00546
Event Type
Malfunction
Date Received
May 22, 2023
Date of Event
April 21, 2023
Report Date
April 16, 2025
Manufacturer
BECTON DICKINSON MEDICAL SYSTEMS
Product Code
FMI
UDI-DI
00382903059171
PMA / PMN Number
K951254
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SW
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE FOLLOWING FIELDS WERE UPDATED DUE TO ADDITIONAL INFORMATION: D10: DEVICE AVAILABLE FOR EVALUTION?YES. D10: RETURNED TO MANUFACTURER ON: H6: INVESTIGATION SUMMARY SIX SAMPLES WERE PROVIDED TO OUR QUALITY TEAM FOR INVESTIGATION. FOUR SAMPLES RECEIVED IN SEALED PACKAGES AND TWO SAMPLES RECEIVED IN OPENED PACKAGING BLISTERS. THROUGH VISUAL INSPECTION, IT WAS OBSERVED THAT FIVE SAMPLES HAVE 21G X 1 1/2" NEEDLE AND ONE SAMPLE WHICH CAME IN AN OPENED PACKAGING BLISTER HAVE 23G X 1" NEEDLE. BASED ON THE INVESTIGATION WITH THE SAMPLE ANALYSIS THE SYMPTOM REPORTED IS CONFIRMED. A DEVICE HISTORY RECORD REVIEW SHOWED NO REJECTED INSPECTIONS OR QUALITY ISSUES DURING THE PRODUCTION OF THE PROVIDED BATCH NUMBER THAT COULD HAVE CONTRIBUTED TO THE REPORTED DEFECT.

Additional Manufacturer Narrative · 0

BECTON DICKINSON AND COMPANY'S (BD) MEDICATION DELIVERY SOLUTIONS (MDS) BUSINESS UNIT WILL DISCONTINUE MALFUNCTION MDR REPORTING FOR CERTAIN DEVICE FAILURES THAT HAVE NOT CAUSED OR CONTRIBUTED TO DEATHS OR SERIOUS INJURIES IN THE PAST TWO YEARS, AND WHERE THE LIKELIHOOD OF A DEATH OR SERIOUS INJURY AS A RESULT OF THESE MALFUNCTIONS IS REMOTE. THIS DECISION FOLLOWS FDA GUIDELINES (MEDICAL DEVICE REPORTING FOR MANUFACTURERS GUIDANCE FOR INDUSTRY AND FOOD AND DRUG ADMINISTRATION STAFF ISSUED NOV 8, 2016, REFERENCE SECTION 2.15). BD NOTIFIED FDA OF THIS DECISION ON MAR 3, 2025. FDA HAS REVIEWED AND RESPONDED TO BD¿S NOTIFICATION (REFERENCE FDA DOCUMENT # (B)(4)) ON MARCH 7, 2025. THIS DOCUMENTATION IS AVAILABLE IN BD DOCUMENT MANAGEMENT SYSTEM (SAP) AS DIR 10000690801. THIS SUPPLEMENTAL MDR IS BEING FILED TO DOCUMENT THAT THE BELOW DEVICE FAILURE WILL NO LONGER BE CONSIDERED A REPORTABLE MALFUNCTION MDR FOR THE PRODUCT FAMILY BELOW: PRODUCT FAMILY: SAFETYGLIDE. DEVICE FAILURE: MIXED PRODUCT/LOTS.

Additional Manufacturer Narrative · 0

H.3. 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 A NEEDLE WITH A BLUE HUB WAS FOUND IN THE PACK OF GREEN-HUBBED BD SAFETYGLIDE¿ NEEDLES. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: "BD NEEDLES USUALLY HAVE A GREEN PLASTIC HOUSING BEARING THE METALLIC CANNULA. A NEEDLE WITH A BLUE HOUSING WAS FOUND WITHIN THE BATCH."

Description of Event or Problem · 0

NO ADDITIONAL INFORMATION.

Description of Event or Problem · 0

IT WAS REPORTED THAT A NEEDLE WITH A BLUE HUB WAS FOUND IN THE PACK OF GREEN-HUBBED BD SAFETYGLIDE¿ NEEDLES. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: "BD NEEDLES USUALLY HAVE A GREEN PLASTIC HOUSING BEARING THE METALLIC CANNULA. A NEEDLE WITH A BLUE HOUSING WAS FOUND WITHIN THE BATCH."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
863161 BD SAFETYGLIDE¿ NEEDLE HYPODERMIC SINGLE LUMEN NEEDLE FMI BECTON DICKINSON MEDICAL SYSTEMS 1215754 00382903059171

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown