FDA Adverse Event Malfunction Summary report: N

BD 20ML LUER-LOK¿ SYRINGE

MDR report key: 17086158 · Received June 8, 2023

Report

Report Number
9614033-2023-00045
Event Type
Malfunction
Date Received
June 8, 2023
Date of Event
May 1, 2023
Report Date
June 6, 2023
Manufacturer
BECTON DICKINSON DE MEXICO
Product Code
FMF
PMA / PMN Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MX
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

H.6. INVESTIGATION SUMMARY: ONE PHOTO RECEIVED BY OUR QUALITY TEAM FOR INVESTIGATION. UPON VISUAL EVALUATION, A PLASTIC BAG WITH SYRINGES INSIDE IS OBSERVED. UNABLE TO CONFIRM FAILURE BASED ON THE IMAGE DISPLAYED. PHYSICAL SAMPLES ARE REQUIRED TO FURTHER ANALYZE. A DEVICE HISTORY REVIEW WAS PERFORMED FOR LOT 2161837, NO DEVIATIONS OR NON-CONFORMANCES WERE IDENTIFIED DURING THE MANUFACTURING PROCESS THAT COULD HAVE CONTRIBUTED TO THIS ISSUE. BASED ON THE QUALITY TEAM'S INVESTIGATION, WE ARE NOT ABLE TO IDENTIFY A ROOT CAUSE RELATED TO OUR MANUFACTURING PROCESS AT THIS TIME. WE APPRECIATE YOU TAKING THE TIME TO BRING THIS OBSERVATION TO OUR ATTENTION. COMPLAINTS RECEIVED FOR THIS DEVICE AND REPORTED CONDITION WILL CONTINUE TO BE TRACKED AND TRENDED. INFORMATION WILL BE CAPTURED ON TREND REPORTS AND MONITORED MONTHLY. OUR BUSINESS TEAM REGULARLY REVIEWS THE COLLECTED DATA FOR IDENTIFICATION OF EMERGING TRENDS.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING USE WITH BD 20ML LUER-LOK¿ SYRINGE THE PLUNGER WAS DIFFICULT TO MOVE. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER, TRANSLATED FROM SPANISH TO ENGLISH: THE BARREL IS THINNER WHERE THE PLUNGER GETS STUCK.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
276377 BD 20ML LUER-LOK¿ SYRINGE PISTON SYRINGE FMF BECTON DICKINSON DE MEXICO 2161837

Patients

Seq Age Sex Outcome Treatment
1 Unknown