FDA Adverse Event Malfunction Summary report: N

BD ECLIPSE¿ NEEDLE

MDR report key: 17511839 · Received August 11, 2023

Report

Report Number
3003916417-2023-00217
Event Type
Malfunction
Date Received
August 11, 2023
Date of Event
July 27, 2023
Report Date
October 25, 2023
Manufacturer
BECTON DICKINSON IND. CIRURGICAS LTDA
Product Code
FMI
PMA / PMN Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
BR
Reporter Occupation
PHARMACIST
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

H.6. INVESTIGATION SUMMARY: PHOTO RECEIVED BY OUR QUALITY TEAM FOR INVESTIGATION. THROUGH VISUAL INSPECTION, THREE NEEDLES ARE OBSERVED INSIDE THE PACKAGING, NO DEFECTS OR ISSUES OBSERVED. UNABLE TO VERIFY THE MIXED NEEDLE INCIDENT BASED ON IMAGES. PHYSICAL SAMPLES ARE 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. BASED ON THE QUALITY TEAM'S INVESTIGATION, A ROOT CAUSE RELATED TO OUR MANUFACTURING PROCESS CANNOT BE IDENTIFIED AT THIS TIME. 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. H3 OTHER TEXT : SEE H10

Additional Manufacturer Narrative · 0

H3. 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 THE BD ECLIPSE¿ NEEDLE'S PACKAGE HAD A 32MM AND 1 MM NEEDLE. THE FOLLOWING WAS RECEIVED BY THE INITIAL REPORTER: THE NEEDLE IN QUESTION COMES WITH 2 SIZES, THE FIRST OF WHICH IS 2MM AS DESCRIBED ON THE PACKAGE, BUT THE PHYSICAL SHOWS 32MM AND 1MM.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE BD ECLIPSE¿ NEEDLE'S PACKAGE HAD A 32MM AND 1 MM NEEDLE. THE FOLLOWING WAS RECEIVED BY THE INITIAL REPORTER: THE NEEDLE IN QUESTION COMES WITH 2 SIZES, THE FIRST OF WHICH IS 2MM AS DESCRIBED ON THE PACKAGE, BUT THE PHYSICAL SHOWS 32MM AND 1MM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
763351 BD ECLIPSE¿ NEEDLE HYPODERMIC SINGLE LUMEN NEEDLE FMI BECTON DICKINSON IND. CIRURGICAS LTDA 2090319

Patients

Seq Age Sex Outcome Treatment
1 Unknown