FDA Adverse Event Malfunction Summary report: N

BD SPINAL NEEDLE QUINCKE TYPE POINT

MDR report key: 17337994 · Received July 17, 2023

Report

Report Number
3003152976-2023-00288
Event Type
Malfunction
Date Received
July 17, 2023
Date of Event
June 22, 2023
Report Date
August 11, 2023
Manufacturer
BECTON DICKINSON, S.A.
Product Code
BSP
PMA / PMN Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CO
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

H6: INVESTIGATION SUMMARY NO PHOTOS OR PHYSICAL SAMPLES THAT DISPLAY THE REPORTED CONDITION WERE PROVIDED TO OUR QUALITY TEAM FOR INVESTIGATION. A DEVICE HISTORY REVIEW WAS PERFORMED FOR LOT 2111012, NO DEVIATIONS OR NON-CONFORMANCES WERE IDENTIFIED DURING THE MANUFACTURING PROCESS THAT COULD HAVE CONTRIBUTED TO THIS ISSUE. THREE RETAINED SAMPLES OF THE SAME LOT WERE USED FOR ADDITIONAL EVALUATION. THE PRODUCT WAS VISUALLY INSPECTED, NO DAMAGE OR DEFECTS WERE OBSERVED ON OR NEAR THE LUER CONNECTION. FUNCTIONAL TESTING WAS PERFORMED, CONNECTING THE NEEDLE TO A SYRINGE. LIQUID WAS ABLE TO PASS FROM THE SYRINGE THROUGH THE NEEDLE AND NO LEAKAGE WAS OBSERVED. PRODUCT IS VISUALLY AND FUNCTIONALLY TESTED THROUGHOUT MANUFACTURING ACCORDING TO PROCEDURE, VERIFYING ALL CRITICAL DIMENSIONS ARE WITHIN SPECIFICATION. TESTING RESULTS FOR LOT 2111012 VERIFIED PRODUCT MET ALL REQUIRED LIMITS. BASED ON THE AVAILABLE INFORMATION WE ARE NOT ABLE TO IDENTIFY A ROOT CAUSE AT THIS TIME.

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 DURING USE WITH BD SPINAL NEEDLE QUINCKE TYPE POINT MEDICATION LEAKED AT LUER CONNECTION. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER, TRANSLATED FROM SPANISH TO ENGLISH: MATCHING THE SYRINGE WITH THE MEDICATION SPILLS THE ANESTHETIC

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING USE WITH BD SPINAL NEEDLE QUINCKE TYPE POINT MEDICATION LEAKED AT LUER CONNECTION. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER, TRANSLATED FROM SPANISH TO ENGLISH: MATCHING THE SYRINGE WITH THE MEDICATION SPILLS THE ANESTHETIC

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1664736 BD SPINAL NEEDLE QUINCKE TYPE POINT ANESTHETIC CONDUCTION NEEDLE BSP BECTON DICKINSON, S.A. 2111012

Patients

Seq Age Sex Outcome Treatment
1 Unknown