BD SAFETYGLIDE¿ NEEDLE
Report
- Report Number
- 1213809-2023-00690
- Event Type
- Malfunction
- Date Received
- July 5, 2023
- Date of Event
- June 12, 2023
- Report Date
- July 18, 2023
- Manufacturer
- BECTON DICKINSON MEDICAL SYSTEMS
- Product Code
- FMI
- UDI-DI
- 10612479262598
- PMA / PMN Number
- K951254
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- NURSE
- Health Professional
- Yes
Narratives
B.3. 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 ADDITIONAL LOT NUMBER IS AS FOLLOWS: D4. MEDICAL DEVICE LOT #: 2188470; D4. MEDICAL DEVICE EXPIRATION DATE: 30JUN2027; H4. DEVICE MANUFACTURE DATE: 07JUL2022; D4. MEDICAL DEVICE LOT #: 2202913; D4. MEDICAL DEVICE EXPIRATION DATE: 30JUN2027; H4. DEVICE MANUFACTURE DATE: 21JUL2022. H3. A DEVICE EVALUATION IS ANTICIPATED BUT HAS NOT YET BEGUN. UPON COMPLETION OF THE INVESTIGATION, A SUPPLEMENTAL REPORT WILL BE FILED.
H6: INVESTIGATION SUMMARY NO SAMPLES OR PHOTOS RECEIVED BY OUR QUALITY TEAM FOR EVALUATION. A DEVICE HISTORY RECORD REVIEW WAS COMPLETED FOR PROVIDED LOT NUMBER 2202913. ACCORDING TO THE SAMPLING PLAN APPLIED FOR PRODUCT PERFORMANCE, THIS LOT WAS ACCEPTED AND RELEASED WITHOUT DEFECTS BEING NOTED DURING THE FINAL ASSEMBLY OR VISUAL INSPECTIONS. ADDITIONAL DEVICE HISTORIES WERE REVIEWED FOR EACH LOT OF NEEDLES USED IN THE MANUFACTURE OF THIS BATCH. DURING THE HISTORY REVIEW, ONE LOT WAS IDENTIFIED AS HAVING SUFFERED FROM CLOGGED NEEDLES DUE TO SILICONE. IT COULD BE POSSIBLE SOME SAMPLES ARE ESCAPES FROM THE INCIDENT THAT OCCURRED WHILE PRODUCTION. DURING REVIEW OF THE PROCESS, PROCESS VARIATIONS DURING THE NEEDLE LUBRICANT APPLICATION CAN CREATE CLOGGED NEEDLES. CORRECTIVE AND PREVENTATIVE ACTIONS HAVE BEEN IMPLEMENTED. SEVERAL QUALITY INITIATIVES HAVE BEEN IMPLEMENTED ON OUR MANUFACTURING LINE TO ENSURE THAT THE NEEDLE LUBRICANT APPLICATION IS PROPERLY APPLIED DURING THE MANUFACTURING PROCESS. ADDITIONALLY, A MONITORING PROGRAM IS ALSO IN PLACE TO VERIFY THE NEEDLE LUBRICANT IS APPLIED UNIFORMLY TO THE NEEDLE.
IT WAS REPORTED THAT AT LEAST 30 OF THE BD SAFETYGLIDE¿ NEEDLE ARE CLOGGED. THE FOLLOWING WAS RECEIVED FROM THE INITIAL REPORTER: VERBATIM: ITEM: NEEDLES ARE MALFUNCTIONING, SO FAR HAVE HAD THE ISSUE WITH MULTIPLE NEEDLES FROM A BOX THAT WAS RECENTLY OPENED. - ARE YOU ABLE TO DESCRIBE IN DETAIL ABOUT THE MALFUNCTION NEEDLES? THE NEEDLES ARE CLOGGED. ONCE WE ATTACH THE NEEDLE TO A SYRINGE, WE ARE ABLE TO PULL BACK ON THE PLUNGER ONLY TO HAVE THE PLUNGER BOUNCE BACK. IF WE ARE ABLE TO ADD AIR TO A SYRINGE AND THEN ATTACH THE NEEDLE, WE ARE UNABLE TO ADVANCE THE PLUNGER TO DISPEL THE AIR (OR THE MEDICATION). (BROKEN/DULL/CLOGGED/OTHERS?).
IT WAS REPORTED THAT AT LEAST 30 OF THE BD SAFETYGLIDE¿ NEEDLE ARE CLOGGED. THE FOLLOWING WAS RECEIVED FROM THE INITIAL REPORTER: VERBATIM: ITEM: NEEDLES ARE MALFUNCTIONING, SO FAR HAVE HAD THE ISSUE WITH MULTIPLE NEEDLES FROM A BOX THAT WAS RECENTLY OPENED. ARE YOU ABLE TO DESCRIBE IN DETAIL ABOUT THE MALFUNCTION NEEDLES? THE NEEDLES ARE CLOGGED. ONCE WE ATTACH THE NEEDLE TO A SYRINGE, WE ARE ABLE TO PULL BACK ON THE PLUNGER ONLY TO HAVE THE PLUNGER BOUNCE BACK. IF WE ARE ABLE TO ADD AIR TO A SYRINGE AND THEN ATTACH THE NEEDLE, WE ARE UNABLE TO ADVANCE THE PLUNGER TO DISPEL THE AIR (OR THE MEDICATION). (BROKEN/DULL/CLOGGED/OTHERS?)
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1344457 | BD SAFETYGLIDE¿ NEEDLE | HYPODERMIC SINGLE LUMEN NEEDLE | FMI | BECTON DICKINSON MEDICAL SYSTEMS | 306616 | SEE H.10 | 10612479262598 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown |