FDA Adverse Event Malfunction Summary report: N

BD VACUTAINER® ECLIPSE¿ BLOOD COLLECTION NEEDLE WITH PRE-ATTACHED HOLDER

MDR report key: 18613274 · Received January 31, 2024

Report

Report Number
1024879-2024-00069
Event Type
Malfunction
Date Received
January 31, 2024
Date of Event
December 31, 2023
Report Date
February 13, 2024
Manufacturer
BECTON, DICKINSON & CO., (BD)
Product Code
FMI
UDI-DI
00382903686506
PMA / PMN Number
K982541
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MO, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE FOLLOWING FIELDS WERE UPDATED DUE TO ADDITIONAL INFORMATION: D9: DEVICE AVAILABLE FOR EVALUATION: YES. D.9:DEVICE EVAL BY MANUFACTURER? YES. D9: RETURNED TO MANUFACTURER ON: (B)(6) 2024. H.6 INVESTIGATION SUMMARY MATERIAL #: 368650. LOT/BATCH #: 2200271. BD RECEIVED 82 SAMPLES AND 3 PHOTOS FOR INVESTIGATION. THE PHOTOS WERE REVIEWED AND THE CUSTOMER¿S INDICATED FAILURE MODE FOR AIR BUBBLES / INSUFFICIENT FLOW WITH THE INCIDENT LOT WAS NOT OBSERVED. ADDITIONALLY, 30 OF THE CUSTOMER SAMPLES WERE CHOSEN AT RANDOM AND EVALUATED BY FUNCTIONAL DRAW TESTING AND THE INDICATED FAILURE MODE FOR AIR BUBBLES / INSUFFICIENT FLOW WITH THE INCIDENT LOT WAS NOT OBSERVED AS ALL PRODUCT SPECIFICATIONS WERE MET. BASED ON A REVIEW OF THE DEVICE HISTORY RECORD FOR THE INCIDENT LOT, ALL PRODUCT SPECIFICATIONS AND REQUIREMENTS FOR LOT RELEASE WERE MET. THERE WERE NO RELATED QUALITY ISSUES DURING MANUFACTURING OF THE PRODUCT. THIS COMPLAINT IS UNABLE TO BE CONFIRMED FOR THE INDICATED FAILURE MODE AIR BUBBLES / INSUFFICIENT FLOW. BD WAS NOT ABLE TO IDENTIFY A ROOT CAUSE FOR THE INDICATED FAILURE MODE. COMPLAINTS RECEIVED FOR THIS DEVICE AND REPORTED CONDITION WILL CONTINUE TO BE TRACKED AND TRENDED. OUR BUSINESS TEAM REGULARLY REVIEWS THE COLLECTED DATA FOR IDENTIFICATION OF EMERGING TRENDS.

Description of Event or Problem · 0

IT WAS REPORTED THAT WHILE USING BD VACUTAINER® ECLIPSE¿ BLOOD COLLECTION NEEDLE WITH PRE-ATTACHED HOLDER, THERE IS INSUFFICIENT FLOW AND AIR BUBBLES CAUSING THE PATIENTS VEIN TO BLOW. NO ADDITIONAL IMPACT REPORTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT WHILE USING BD VACUTAINER® ECLIPSE¿ BLOOD COLLECTION NEEDLE WITH PRE-ATTACHED HOLDER, THERE IS INSUFFICIENT FLOW AND AIR BUBBLES CAUSING THE PATIENTS VEIN TO BLOW. NO ADDITIONAL IMPACT REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1261829 BD VACUTAINER® ECLIPSE¿ BLOOD COLLECTION NEEDLE WITH PRE-ATTACHED HOLDER HYPODERMIC SINGLE LUMEN NEEDLE FMI BECTON, DICKINSON & CO., (BD) UNKNOWN 00382903686506

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown