FDA Adverse Event Malfunction Summary report: N

BD VACUTAINER® PRECISIONGLIDE¿ MULTIPLE SAMPLE NEEDLE

MDR report key: 17054734 · Received June 2, 2023

Report

Report Number
9617032-2023-00662
Event Type
Malfunction
Date Received
June 2, 2023
Date of Event
May 5, 2023
Report Date
July 6, 2023
Manufacturer
BECTON, DICKINSON AND COMPANY (BD)
Product Code
FMI
PMA / PMN Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

H.6 INVESTIGATION SUMMARY: "MATERIAL #: 360213. LOT/BATCH #: 2182361. BD HAD NOT RECEIVED SAMPLES OR PHOTOS FOR INVESTIGATION. THEREFORE, 10 RETENTION SAMPLES FROM BD INVENTORY WERE EVALUATED BY VISUAL EXAMINATION AND FUNCTIONAL TESTING, EACH BEING CONNECTED TO A HOLDER, AND NO ISSUES WERE OBSERVED RELATING TO HOLDER SEPARATION AS ALL SAMPLES MET SPECIFICATIONS. BASED ON A REVIEW OF THE DEVICE HISTORY RECORD FOR THE INCIDENT LOT, ALL PRODUCT SPECIFICATIONS AND REQUIREMENTS FOR LOT RELEASE WERE MET. THERE WERE NO RELATED QUALITY ISSUES DURING MANUFACTURING OF THE PRODUCT. THIS COMPLAINT IS UNABLE TO BE CONFIRMED FOR THE INDICATED FAILURE MODE HOLDER SEPARATION. BD WAS NOT ABLE TO IDENTIFY A ROOT CAUSE FOR THE INDICATED FAILURE MODE. COMPLAINTS RECEIVED FOR THIS DEVICE AND REPORTED CONDITION WILL CONTINUE TO BE TRACKED AND TRENDED. OUR BUSINESS TEAM REGULARLY REVIEWS THE COLLECTED DATA FOR IDENTIFICATION OF EMERGING TRENDS." H3 OTHER TEXT : SEE H.10.

Additional Manufacturer Narrative · 0

INVESTIGATION SUMMARY: BD HAD NOT RECEIVED SAMPLES OR PHOTOS FOR INVESTIGATION. THEREFORE, 10 RETENTION SAMPLES FROM BD INVENTORY WERE EVALUATED BY VISUAL EXAMINATION AND FUNCTIONAL TESTING, EACH BEING CONNECTED TO A HOLDER, AND NO ISSUES WERE OBSERVED RELATING TO HOLDER SEPARATION AS ALL SAMPLES MET SPECIFICATIONS. BASED ON A REVIEW OF THE DEVICE HISTORY RECORD FOR THE INCIDENT LOT, ALL PRODUCT SPECIFICATIONS AND REQUIREMENTS FOR LOT RELEASE WERE MET. THERE WERE NO RELATED QUALITY ISSUES DURING MANUFACTURING OF THE PRODUCT. THIS COMPLAINT IS UNABLE TO BE CONFIRMED FOR THE INDICATED FAILURE MODE HOLDER SEPARATION. BD WAS NOT ABLE TO IDENTIFY A ROOT CAUSE FOR THE INDICATED FAILURE MODE. H3 OTHER TEXT : SEE H.10.

Description of Event or Problem · 0

IT WAS REPORTED WHEN USING THE BD VACUTAINER® PRECISIONGLIDE¿ MULTIPLE SAMPLE NEEDLE THE NEEDLE AND HOLDER SEPARATED/SPUN OUT. THIS EVENT OCCURRED 2 TIMES. PATIENT 2 OF 2. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER. THE CUSTOMER STATED: "I WOULD LIKE TO REPORT 2 INCIDENTS TODAY OF THE NEEDLE TWISTING OFF WHILST STILL IN PATIENTS ARM IN MY 0945 AT 1000 PATIENTS FOR PHLEBOTOMY. THE NEEDLE CAME OFF AND I HAD TO REMOVE IT AND RETRY PHLEBOTOMY ATTEMPT WITH SEPERATE NEEDLE. THE NEEDLES WHICH HAD COME LOOSE ALSO WOULD NOT REFIT BACK INTO SAFETY GUARD SO THERE WAS A SIGNIFICANT SAFETY RISK FOR A NEEDLESTICK INJURY."

Description of Event or Problem · 0

IT WAS REPORTED WHEN USING THE BD VACUTAINER® PRECISIONGLIDE¿ MULTIPLE SAMPLE NEEDLE THE NEEDLE AND HOLDER SEPARATED/SPUN OUT. THIS EVENT OCCURRED 2 TIMES. PATIENT 2 OF 2 THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER. THE CUSTOMER STATED: "I WOULD LIKE TO REPORT 2 INCIDENTS TODAY OF THE NEEDLE TWISTING OFF WHILST STILL IN PATIENTS ARM IN MY 0945 AT 1000 PATIENTS FOR PHLEBOTOMY. THE NEEDLE CAME OFF AND I HAD TO REMOVE IT AND RETRY PHLEBOTOMY ATTEMPT WITH SEPERATE NEEDLE. THE NEEDLES WHICH HAD COME LOOSE ALSO WOULD NOT REFIT BACK INTO SAFETY GUARD SO THERE WAS A SIGNIFICANT SAFETY RISK FOR A NEEDLESTICK INJURY."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1648746 BD VACUTAINER® PRECISIONGLIDE¿ MULTIPLE SAMPLE NEEDLE BLOOD COLLECTION NEEDLE FMI BECTON, DICKINSON AND COMPANY (BD) 2182361

Patients

Seq Age Sex Outcome Treatment
1 Unknown