FDA Adverse Event Malfunction Summary report: N

BD PLASTIPAK¿ SYRINGES

MDR report key: 17687077 · Received September 5, 2023

Report

Report Number
3003916417-2023-00263
Event Type
Malfunction
Date Received
September 5, 2023
Date of Event
August 17, 2023
Report Date
October 1, 2023
Manufacturer
BECTON DICKINSON IND. CIRURGICAS LTDA
Product Code
FMF
PMA / PMN Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
BR
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

SINCE NO SAMPLES DISPLAYING THE CONDITION REPORTED ARE AVAILABLE FOR EXAMINATION, WE WERE UNABLE TO FULLY INVESTIGATE THIS INCIDENT, THEREFORE A ROOT CAUSE COULD NOT BE DETERMINED. 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. WE WOULD BE VERY INTERESTED IN EXAMINING PRODUCT THAT DOES NOT MEET YOUR EXPECTATIONS AND OUR QUALITY STANDARDS. SHOULD YOU AGAIN EXPERIENCE ANY PROBLEMS WITH OUR PRODUCT WE WOULD APPRECIATE THE OPPORTUNITY TO CONDUCT A THOROUGH ANALYSIS. EXAMINATION OF THE PRODUCT INVOLVED MAY PROVIDE CLARIFICATION AS TO THE CAUSE FOR THE REPORTED FAILURE.

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

NO ADDITIONAL INFO RECEIVED. WE WILL RETURN 800 10 ML SYRINGES, AS THEY ARE CAUSING A LOT OF PROBLEMS AT THE TIME OF COLLECTION, THERE ARE SEVERAL COMPLAINTS FROM COLLECTORS, AMONG THEM: LACK OF VACUUM IN THE SYRINGE, THE PLUNGER DOES NOT WORK PROPERLY AND IT IS ALL DISTORTED INSIDE THE SYRINGE, AND ENDS UP GENERATING RECOLLECTION TO THE PATIENT. AGAIN WE HAVE THIS PROBLEM. FOLLOW THE BATCH NUMBER: 3170743 FAB 2023-07.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE BD PLASTIPAK¿ SYRINGES STOPPER IS DEFECTIVE. THE FOLLOWING WAS TRANSLATED FROM PORTUGUESE TO ENGLISH: THERE ARE SEVERAL COMPLAINTS FROM COLLECTORS, AMONG THEM: LACK OF VACUUM IN THE SYRINGE, THE PLUNGER DOES NOT WORK PROPERLY AND IT IS ALL DISTORTED INSIDE THE SYRINGE, AND ENDS UP GENERATING RECOLLECTION TO THE PATIENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1455235 BD PLASTIPAK¿ SYRINGES PISTON SYRINGE FMF BECTON DICKINSON IND. CIRURGICAS LTDA 3170743

Patients

Seq Age Sex Outcome Treatment
1 Unknown