BD VACUTAINER® PRECISIONGLIDE¿ MULTIPLE SAMPLE NEEDLE
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
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.
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.
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."
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 |