FDA Adverse Event Malfunction Summary report: N

BD PLASTIPAK¿ LUER-LOK¿ SYRINGE

MDR report key: 17480903 · Received August 8, 2023

Report

Report Number
3003916417-2023-00208
Event Type
Malfunction
Date Received
August 8, 2023
Date of Event
July 19, 2023
Report Date
November 13, 2023
Manufacturer
BECTON DICKINSON IND. CIRURGICAS LTDA
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

PHOTO RECEIVED BY OUR QUALITY TEAM FOR INVESTIGATION. THROUGH VISUAL INSPECTION, PRODUCT PACKAGING IS OBSERVED, NO DEFECTS OR ISSUES OBSERVED. UNABLE TO CONFIRM INCIDENT BASED ON IMAGES, PHYSICAL SAMPLE IS REQUIRED TO FURTHER ANALYZE. FURTHERMORE, A DEVICE HISTORY RECORD REVIEW SHOWED NO REJECTED INSPECTIONS OR QUALITY ISSUES DURING THE PRODUCTION OF THE PROVIDED LOT NUMBER THAT COULD HAVE CONTRIBUTED TO THE REPORTED DEFECT. RETENTION SAMPLES FROM THE SAME LOT WERE EVALUATED, NO DEFECTS OR ISSUES OBSERVED. BASED ON THE AVAILABLE INFORMATION WE ARE NOT ABLE TO DETERMINE A ROOT CAUSE AT THIS TIME. REGARDING THE LABEL CONTENT ISSUE, CATALOG 990687, THE REGISTRATION NUMBER IS DETAILED ON THE BACK LABEL OF THE SECONDARY PACKAGING.

Additional Manufacturer Narrative · 0

B.3. DATE OF EVENT: UNKNOWN. THE DATE RECEIVED BY MANUFACTURER HAS BEEN USED FOR THIS FIELD. 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

WHEN INSPECTING THE SYRINGES WE IDENTIFIED THAT THE NEW PACKAGING CHANGES TO A PURPLE COLOR AND THE REFERENCE CODE IS THE SAME (REF: (B)(4)), ADDITIONALLY WE CAN PERCEIVE A SLIGHT DIFFERENCE IN THE RESISTANCE REQUIRED TO ACTUATE THE SYRINGE, WHICH CAUSES THE PERFUSOR TO REQUIRE MORE PRESSURE ON THE PLUNGER TO ADMINISTER THE MEDICATION, AND THIS TRIGGERS THE EQUIPMENT TO PRESENT THE SYSTEM ALARM. IMPORTANT: ON THE PACKAGING OF THE DEVICE, IT IS NOT POSSIBLE TO IDENTIFY THE HEALTH REGISTRATION NUMBER, NOR ANY OTHER INFORMATION REGARDING ITS IMPORTATION INTO MEXICO. DEFICIENCIES IN THE OPERATION, DIFFERENCE IN THE DESCRIPTION OF THE DEVICE, WITH RESPECT TO THE PREVIOUS CODE. DIFFERENCES BETWEEN THE COUNTRIES OF MANUFACTURE. NO INFORMATION ON THE EXPIRATION DATE. LACK OF SANITARY REGISTRATION, AT LEAST DESCRIBED IN THE PACKAGING OF THE DEVICE, SO I ALSO REQUEST SUPPORT TO VALIDATE THE DOCUMENTATION, AND THAT WE GET IT. THE LOT WITH WHICH WE PRESENT THE SITUATION IS: 2202309 (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT THE BD PLASTIPAK¿ LUER-LOK¿ SYRINGE PACKAGING LABEL DID NOT IDENTIFY THE HEALTH REGISTRATION NUMBER. THIS COMPLAINT WAS CREATED TO CAPTURE THE 2ND OF 2 RELATED INCIDENTS. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER, TRANSLATED FROM SPANISH: "WHEN INSPECTING THE SYRINGES WE IDENTIFIED THAT THE NEW PACKAGING CHANGES TO A PURPLE COLOR AND THE REFERENCE CODE IS THE SAME (REF: (B)(4)), ADDITIONALLY WE CAN PERCEIVE A SLIGHT DIFFERENCE IN THE RESISTANCE REQUIRED TO ACTUATE THE SYRINGE, WHICH CAUSES THE PERFUSOR TO REQUIRE MORE PRESSURE ON THE PLUNGER TO ADMINISTER THE MEDICATION, AND THIS TRIGGERS THE EQUIPMENT TO PRESENT THE SYSTEM ALARM. IMPORTANT: ON THE PACKAGING OF THE DEVICE, IT IS NOT POSSIBLE TO IDENTIFY THE HEALTH REGISTRATION NUMBER, NOR ANY OTHER INFORMATION REGARDING ITS IMPORTATION INTO MEXICO. DEFICIENCIES IN THE OPERATION, DIFFERENCE IN THE DESCRIPTION OF THE DEVICE, WITH RESPECT TO THE PREVIOUS CODE. DIFFERENCES BETWEEN THE COUNTRIES OF MANUFACTURE NO INFORMATION ON THE EXPIRATION DATE LACK OF SANITARY REGISTRATION, AT LEAST DESCRIBED IN THE PACKAGING OF THE DEVICE. THE LOT WITH WHICH WE PRESENT THE SITUATION IS: 2202309 FAB2022-08."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2325382 BD PLASTIPAK¿ LUER-LOK¿ SYRINGE PISTON SYRINGE FMF BECTON DICKINSON IND. CIRURGICAS LTDA 2202309

Patients

Seq Age Sex Outcome Treatment
1 Unknown